Individual provider · Type 1 NPI

Ellery Caroline Wallace, MS, CCC-SLP

Speech-Language Pathologist · Bowling Green, KY

NPI number 1699330597 Active

Practice location

2427 Russellville Rd
Bowling Green, KY 42101-3980

Call (270) 936-7472 Map

Fax (317) 520-0820

Mailing address

3500 Depauw Blvd Ste 3070
Indianapolis, IN 46268-6135

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist Primary 235Z00000X286690 (KY)

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 1699330597

Ellery Caroline Wallace, MS, CCC-SLP's National Provider Identifier is 1699330597, issued on May 6, 2019. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Bowling Green, KY. The record was last updated on Jan 26, 2024.