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Kaitlynn Wallace
Speech-Language Pathologist in Portales, New Mexico
NPI 1790249100

Kaitlynn Wallace is a Speech-Language Pathologist based in Acampo, NM. Kaitlynn Wallace practices in Portales, NM. The NPI Number for Kaitlynn Wallace is 1790249100 and holds a License No. (New Mexico).

The current practice location address for Kaitlynn Wallace is 1500 S Ave K, Portales, NM and can be reached out via phone at 575-562-2156.

Location: 1500 S Ave K, Portales, NM, 95220-9573
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1790249100
Provider Name
Kaitlynn Wallace
Credential
Provider Entity Type
Individual
Gender
Female
Address
1500 S Ave K, Portales, NM, 95220-9573
Phone Number
575-562-2156
Fax Number
Provider Enumeration Date
01/30/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1500 S Ave K
City
Portales
State
New Mexico
Zip
88130
Phone Number
575-562-2156
Fax Number
person
Provider Business Mailing Address Details
Address
1500 S Ave K
City
Portales
State
New Mexico
Zip
88130
Phone Number
575-562-2156
Fax Number
person
Provider's Taxonomy Details 1
Type
Speech, Language and Hearing Service Providers
Classification
Speech-Language Pathologist
Speciality
-
Taxonomy
235Z00000X
License No.
()
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
(California)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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