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MARISA WALLACE M.S. CCC-SLP
NPI 1952015844
Speech-Language Pathologist in Brooklyn, NY

Active since January 06, 2023
220 IRVING AVE, BROOKLYN, NY 11237(718) 574-0252 Get Directions Write a Review

NPPES record last updated: January 6, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Marisa Wallace M.s. Ccc-slp NPPES

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

MARISA WALLACE M.S. CCC-SLP (NPI 1952015844) is an individual speech-language pathologist provider in Brooklyn, New York, licensed in New York (032673-01) and active in the NPI registry since January 2023.

NPPES Registry Identity

NPI1952015844
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameMARISA WALLACECredential: M.S. CCC-SLP
Location Address220 IRVING AVEBrooklyn, NY 11237-5011
Mailing Address220 Irving AveBrooklyn, NY 11237-5011
Phone(718) 574-0252
Sole ProprietorYes
Enumeration DateJanuary 6, 2023
NPPES CertifiedJanuary 5, 2023
✔ NPI 1952015844 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 · 032673-01
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.
220 IRVING AVE, Brooklyn, NY 11237
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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 Marisa Wallace's NPI number?

The NPI number for Marisa Wallace is 1952015844. It was assigned to this individual provider in the NPPES registry on January 6, 2023.

Where is Marisa Wallace located?

Marisa Wallace practices at 220 Irving Ave, Brooklyn, NY 11237. The listed phone number is (718) 574-0252.

What is Marisa 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 Marisa Wallace was last updated on January 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.