DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: SKYE WALLACE M.S. CCC-SLP

MEDICARE: SKYE WALLACE M.S. CCC-SLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language PathologistSA18149FL

General Provider Information

NPI Number : 1598377327
Entity Type Code : Individual
Provider Name (Legal Business Name) : SKYE WALLACE M.S. CCC-SLP
Provider Business Mailing Address
First Line : 112 N 12TH ST
Second Line :
City : TAMPA
State : FL
Zip : 33602-3764
Country : US
Telephone Number : 561-859-9792
Fax Number :
Provider Business Practice Location Address
First Line : 1514 E CHELSEA ST
Second Line :
City : TAMPA
State : FL
Zip : 33610-6114
Country : US
Telephone Number : 813-238-8232
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/22/2020
Last Update Date : 08/22/2020

Similar Medicare Providers

1083618565 — SENIOR HEALTH-TNF, LLC
Practice Location Address:
1514 E CHELSEA ST
TAMPA, FL
33610-6114
Practice Phone: 813-238-6406
Practice Fax: 813-238-8232
1083116529 — HAILEY SALAS
Practice Location Address:
1514 E CHELSEA ST
TAMPA, FL
33610-6114
Practice Phone: 813-238-6406
Practice Fax:
1952921546 — KIMBERLY CONTANT M.S., CCC-SLP
Practice Location Address:
1514 E CHELSEA ST
TAMPA, FL
33610-6114
Practice Phone: 813-238-6406
Practice Fax:
1508459090 — ERIKA WANDA STEVENS COTA/L
Practice Location Address:
1514 E CHELSEA ST
TAMPA, FL
33610-6114
Practice Phone: 813-238-6406
Practice Fax:
1144993155 — KENNETH BORGES ROSADO
Practice Location Address:
1514 E CHELSEA ST
TAMPA, FL
33610-6114
Practice Phone: 813-238-6406
Practice Fax:
1871267161 — KRISTA MORIARTY PTA
Practice Location Address:
1514 E CHELSEA ST
TAMPA, FL
33610-6114
Practice Phone: 813-238-6406
Practice Fax:

Directions to “ SKYE WALLACE M.S. CCC-SLP” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.