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Vicki R Wallace, MS,CCC-A
Audiologist in Fairmont, West Virginia
NPI 1447420484

Vicki R Wallace is an Audiologist based in Fairmont, WV. Vicki R Wallace practices in Fairmont, WV and has the professional credentials of MS,CCC-A. The NPI Number for Vicki R Wallace is 1447420484 and holds a License No. A-0039 (West Virginia).

The current practice location address for Vicki R Wallace is 200 Gaston Ave, Fairmont, WV and can be reached out via phone at 304-624-6554 and via fax at 304-624-5223. You can also correspond with Vicki R Wallace through the mailing address at 200 GASTON AVE, FAIRMONT, WV - 26554-2739 (mailing address contact number: 304-624-6554).

Location: 200 Gaston Ave, Fairmont, WV, 26554-2739
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1447420484
Provider Name
Vicki R Wallace
Credential
MS,CCC-A
Provider Entity Type
Individual
Gender
Female
Address
200 Gaston Ave, Fairmont, WV, 26554-2739
Phone Number
304-624-6554
Fax Number
304-624-5223
Provider Enumeration Date
03/05/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0160325000 05 WV
institution
Provider Business Practice Location Address Details
Address
200 Gaston Ave
City
Fairmont
State
West Virginia
Zip
26554-2739
Phone Number
304-624-6554
Fax Number
304-624-5223
person
Provider Business Mailing Address Details
Address
200 Gaston Ave
City
Fairmont
State
West Virginia
Zip
26554-2739
Phone Number
304-624-6554
Fax Number
304-624-5223
person
Provider's Taxonomy Details 1
Type
Speech, Language and Hearing Service Providers
Classification
Audiologist
Speciality
-
Taxonomy
231H00000X
License No.
A-0039 (West Virginia)
Definition
(1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master's degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy.
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