Individual provider · Type 1 NPI

Jaclyn Wallace

Speech-Language Pathologist · Austin, TX

NPI number 1609189315 Active

Practice location

2124 E Saint Elmo Rd
Austin, TX 78744-1050

Mailing address

5520 Cherokee Draw Rd
Austin, TX 78738-4078

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist Primary 235Z00000X105397 (TX)

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 1609189315

Jaclyn Wallace's National Provider Identifier is 1609189315, issued on Jul 22, 2010. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Austin, TX. The record was last updated on Aug 17, 2026.