Vicki R Wallace is a Audiologist in Fairmont, . Vicki R Wallace practices all healthcare services and medical treatments related to Audiologist. The NPI Number for Vicki R Wallace is 1447420484. The last update date is 2008-03-05.
Vicki R Wallace's current location address is 200 Gaston Ave, Fairmont, . You can contact this provider via phone number 3046246554 and fax number 3046245223. The mailing address for Vicki R Wallace is 200 Gaston Ave, Fairmont, . To know further, please read the information below!
Provider Profile Detail
| Provider Name | Vicki R Wallace |
|---|---|
| Address | 200 Gaston Ave, Fairmont, |
| Phone Number | 3046246554 |
| Fax Number | 3046245223 |
| Sole Proprietor | Y |
| Credentials | MS, CCC-A |
NPI Number Detail
| NPI Number | 1447420484 |
|---|---|
| Provider Enumeration Date | 2008-03-05 |
| Last Updated Date | 2008-03-05 |
Provider Mailing Address Detail
| Address | 200 Gaston Ave |
|---|---|
| City | Fairmont |
| State | (WV) |
| Post Code | 265542739 |
| Phone Number | 3046246554 |
| Fax Number | 3046245223 |
Provider's Primary Taxonomy Detail
| Speciality | Audiologist |
|---|---|
| Taxonomy | 231H00000X |
| Licence No | A-0039 |
|
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 auditor |
|
Post Comment/ Review Below
What is the unique identifier code issued to Vicki R Wallace by the Centers for Medicare & Medicaid Services (CMS)?
The Vicki R Wallace has been assigned the NPI (National Provider Identifier) 1447420484. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Vicki R Wallace located?
The Vicki R Wallace is located at 200 Gaston Ave, Fairmont, WV 265542739.
What is Vicki R Wallace's area of expertise and its corresponding taxonomy classification?
The Vicki R Wallace's field of specialization is Audiologist, and it falls under the taxonomy code 231H00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services assign the 1447420484 to Vicki R Wallace?
The Centers for Medicare & Medicaid Services assigned the 1447420484 to Vicki R Wallace on 2008-03-05.
As of what date were the details pertaining to Vicki R Wallace last refreshed?
The information related to the Vicki R Wallace, including its address, specialty, and other relevant details, was last updated on 2008-03-05.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY