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Ms. Vivian Dyanne Wallace, MED
Speech-Language Pathologist in Lawrenceville, Georgia
NPI 1821163023

Vivian Dyanne Wallace is a Speech-Language Pathologist based in Lawrenceville, GA. Vivian Dyanne Wallace practices in Lawrenceville, GA and has the professional credentials of MED. The NPI Number for Vivian Dyanne Wallace is 1821163023 and holds a License No. SLP000631 (Georgia).

The current practice location address for Vivian Dyanne Wallace is 735 Longleaf Blvd, Lawrenceville, GA and can be reached out via phone at 770-995-2378 and via fax at 678-377-9272.

Location: 735 Longleaf Blvd, Lawrenceville, GA, 30045-8460
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1821163023
Provider Name
Vivian Dyanne Wallace
Credential
MED
Provider Entity Type
Individual
Gender
Female
Address
735 Longleaf Blvd, Lawrenceville, GA, 30045-8460
Phone Number
770-995-2378
Fax Number
678-377-9272
Provider Enumeration Date
11/22/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00584427B 05 GA
institution
Provider Business Practice Location Address Details
Address
735 Longleaf Blvd
City
Lawrenceville
State
Georgia
Zip
30045-8460
Phone Number
770-995-2378
Fax Number
678-377-9272
person
Provider Business Mailing Address Details
Address
735 Longleaf Blvd
City
Lawrenceville
State
Georgia
Zip
30045-8460
Phone Number
770-995-2378
Fax Number
678-377-9272
person
Provider's Taxonomy Details 1
Type
Speech, Language and Hearing Service Providers
Classification
Speech-Language Pathologist
Speciality
-
Taxonomy
235Z00000X
License No.
SLP000631 (Georgia)
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.
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