BREANNA WALLACE
NPI 1538575873
Speech-Language Pathologist in Forest Hills, NY

Q: What is Breanna Wallace's NPI number?

The NPI number for Breanna Wallace is 1538575873. It was assigned to this individual provider in the NPPES registry on July 8, 2014.

Q: What is Breanna 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 Breanna Wallace was last updated on December 12, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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 July 08, 2014

9130 METROPOLITAN AVE, FOREST HILLS, NY 11375(718) 286-4700 Get Directions Write a Review

NPPES record last updated: December 12, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Breanna Wallace NPPES

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

BREANNA WALLACE (NPI 1538575873) is an individual speech-language pathologist provider in Forest Hills, New York, licensed in New York (025278) and active in the NPI registry since July 2014.

NPPES Registry Identity

NPI1538575873

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameBREANNA WALLACE

Location Address9130 METROPOLITAN AVEForest Hills, NY 11375-6671

Mailing Address9130 Metropolitan AveForest Hills, NY 11375-6671 · (718) 286-4700

Phone(718) 286-4700

Sole ProprietorNo

Enumeration DateJuly 8, 2014

Last NPPES UpdateDecember 12, 2016

✔ NPI 1538575873 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 · 025278

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.

9130 METROPOLITAN AVE, Forest Hills, NY 11375

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Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STEFANIE ANDREONI M.S., CCC-SLP

Speech-Language Pathologist

9130 METROPOLITAN AVE
FOREST HILLS, NY 11375

Queens County (718) 286-3620

LISA BERGENBAUM

Speech-Language Pathologist

9130 METROPOLITAN AVE
FOREST HILLS, NY 11375

Queens County (718) 286-4700

MRS. PATRICIA CUMMINGS R.N.

Registered Nurse

9130 METROPOLITAN AVE, QUEENS METROPOLITAN CAMPUS ROOM 1110
FOREST HILLS, NY 11375

Queens County (718) 286-4775

MRS. JUDY LYNN GREENLINGER R.N.

Registered Nurse

9130 METROPOLITAN AVE
FOREST HILLS, NY 11375

Queens County (718) 286-4719

CAITLIN WHITTAM OT

Occupational Therapist

9130 METROPOLITAN AVE
FOREST HILLS, NY 11375

Queens County (718) 286-3500

MR. TERENCE STEPHAN MOY MS, CCC-SLP

Speech-Language Pathologist

9130 METROPOLITAN AVE, P233Q
FOREST HILLS, NY 11375

Queens County (718) 286-4718

NIRITTE BRODSKY M.A.

Specialist

9130 METROPOLITAN AVE
FOREST HILLS, NY 11375

Queens County (718) 286-4716

JULIE YACHZEL MS SLP

Speech-Language Pathologist

9130 METROPOLITAN AVE
FOREST HILLS, NY 11375

Queens County (718) 286-3600

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 Breanna Wallace's NPI number?

The NPI number for Breanna Wallace is 1538575873. It was assigned to this individual provider in the NPPES registry on July 8, 2014.

Where is Breanna Wallace located?

Breanna Wallace practices at 9130 Metropolitan Ave, Forest Hills, NY 11375. The listed phone number is (718) 286-4700.

What is Breanna 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 Breanna Wallace was last updated on December 12, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.