IndividualActive
Douglas Wallace
NPI 1730794041 · Hearing Instrument Specialist · Wilbraham, MA
Provider details
- NPI number
- 1730794041
- Entity type
- Individual
- Primary specialty
- Hearing Instrument SpecialistSpeech, Language and Hearing Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 494 (MA)
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Practice location
95 Post Office Park
Wilbraham, MA 01095-1248
Phone: (413) 599-0430
Approximate (ZIP-level) locationGet directions
Mailing address
128 Garland St
Springfield, MA 01118-2219
Registry dates
- Enumerated
- 2020-09-14
- Last updated
- 2020-09-14
- Certified
- 2020-09-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.