Individual provider · Type 1 NPI

Amanda Wallace

Speech-Language Pathologist · Arvada, CO

NPI number 1053725952 Active

Practice location

12924 W 64th Dr Apt A
Arvada, CO 80004-6024

Call (517) 316-5042 Map

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist Primary 235Z00000XSLP.0004212 (CO)

Speech-Language Pathologist: 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, resonan…

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About NPI 1053725952

Amanda Wallace's National Provider Identifier is 1053725952, issued on Jun 18, 2014. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Arvada, CO. The record was last updated on Mar 12, 2026.