MISS JEANANN WALLACE CCC-SLP
NPI 1376788901
Speech-Language Pathologist in Little Neck, NY

Q: What is Jeanann Wallace's NPI number?

The NPI number for Jeanann Wallace is 1376788901. It was assigned to this individual provider in the NPPES registry on December 11, 2008.

Q: What is Jeanann Wallace's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Q: When was this NPI record last updated?

The NPPES record for Jeanann Wallace was last updated on December 11, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 11, 2008

25243 63RD AVE, LITTLE NECK, NY 11362(718) 229-7068 Get Directions Write a Review

NPPES record last updated: December 11, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Miss Jeanann Wallace Ccc-slp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MISS JEANANN WALLACE CCC-SLP (NPI 1376788901) is an individual speech-language pathologist provider in Little Neck, New York, licensed in New York (010381-1) and active in the NPI registry since December 2008.

NPPES Registry Identity

NPI1376788901

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameMISS JEANANN WALLACECredential: CCC-SLP

Location Address25243 63RD AVELittle Neck, NY 11362-2405

Mailing Address25243 63rd AveLittle Neck, NY 11362-2405 · (718) 229-7068

Phone(718) 229-7068

Sole ProprietorYes

Enumeration DateDecember 11, 2008

✔ NPI 1376788901 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers

Taxonomy Code235Z00000X

License✔ Licensed in NY · 010381-1

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.

25243 63RD AVE, Little Neck, NY 11362

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeanann Wallace's NPI number?

The NPI number for Jeanann Wallace is 1376788901. It was assigned to this individual provider in the NPPES registry on December 11, 2008.

Where is Jeanann Wallace located?

Jeanann Wallace practices at 25243 63rd Ave, Little Neck, NY 11362. The listed phone number is (718) 229-7068.

What is Jeanann Wallace's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

When was this NPI record last updated?

The NPPES record for Jeanann Wallace was last updated on December 11, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.