TERESA H. WALLACE (NPI# 1417026402) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417026402 |
| Entity Type | Individual |
| Full Name | TERESA H. WALLACE |
| Practice Address |
1511 Copper Creek Dr Owensboro KY 42303-1797 |
| Practice Telephone | 2709298642 |
| Practice Fax Number | 2706847314 |
| Mailing Telephone | 2709298642 |
| Mailing Fax Number | 2706847314 |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2016-06-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 0864 | KY | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235600081 | Teresa Wallace | Licensed Practical Nurse | 2 Rifkin Ct, Spring Valley, NY 10977-2236 | 2018-12-05 |
| 1225357635 | Teresa M Wallace | Nurse Practitioner | 1880 Old Highway 51 S Ste C, Brighton, TN 38011-8025 | 2010-05-25 |
| 1154966984 | Teresa Michelle Wallace | Behavior Technician | 1941 S 42nd St Ste 328, Omaha, NE 68105-2943 | 2019-11-15 |
| 1871509646 | Teresa L Wallace | Family Medicine | 3915 Talbot Rd S, Ste 401, Renton, WA 98055-5738 | 2006-07-31 |
| 1497709703 | Teresa Wallace | Audiologist | 1700 S Lincoln Ave, Lebanon, PA 17042-7529 | 2006-05-20 |
| Street Address |
1511 COPPER CREEK DR |
| City | OWENSBORO |
| State | KY |
| Zip Code | 42303-1797 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881218121 | Strive Health Ky LLC | Clinic/Center | 4511 Springhill Road, Owensboro, KY 42303 | 2020-06-02 |
| 1952921991 | Carl P Lewis | Pharmacist | Nation's Medicines, 3000 Alvey Park Drive West, Owensboro, KY 42303 | 2020-04-20 |
| 1386292621 | Alexandra Freudenberg | Occupational Therapist | 2605 New Hartford Road, Owensboro, KY 42303 | 2019-08-29 |
| 1457843815 | Deaconess Clinic Inc | Family Medicine | 2710 Heartland Crossing Blvd, Owensboro, KY 42303 | 2018-06-01 |
| 1225525520 | Claudia Abrams | Nurse Practitioner | 3245 Mount Moriah Ave Ste 10, Owensboro, KY 42303 | 2018-04-23 |
| 1245751965 | Play Works Pediatric Therapy | Early Intervention Provider Agency | 4551 Indian Creek Loop, Owensboro, KY 42303 | 2017-07-03 |
| 1518490952 | Sue Lindsey | Social Worker | 1100 Walnut St., Owensboro, KY 42303 | 2017-04-04 |
| 1972034163 | Megan Nichole Meredith | Counselor | 2707 Breckenridge Street, Suite 4, Owensboro, KY 42303 | 2017-03-21 |
| 1275077786 | Physicians Affiliated Care, Psc | Family Medicine | 2710 Heartland Crossings, Suite B, Owensboro, KY 42303 | 2016-12-19 |
| 1790168516 | Kelli D. Brown | Nurse Practitioner | 2816 Veach Rd Ste 403, Owensboro, KY 42303 | 2015-06-30 |
| Find all providers in zip 42303 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | 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, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265902266 | Leslie Burch | Speech-Language Pathologist | 4531 Hwy 54 Unit 1, Owensboro, KY 42303-2486 | 2018-12-03 |
| 1134696321 | Mallory Richardson | Speech-Language Pathologist | 4475 Greenacre Dr, Owensboro, KY 42303-1835 | 2018-10-26 |
| 1447778865 | Porter Speech Pathology LLC | Speech-Language Pathologist | 4531 State Route 54, Owensboro, KY 42303-2486 | 2017-09-06 |
| 1093238032 | Emily Marie Porter | Speech-Language Pathologist | 4531 Highway 54, Owensboro, KY 42303-2486 | 2017-07-21 |
| 1174911077 | Dana Howard | Speech-Language Pathologist | 2876 Silver Creek Loop, Owensboro, KY 42303-4465 | 2014-12-30 |
| 1104239599 | Theresa M Sweeney | Speech-Language Pathologist | 1115 Tamarack Rd Ste 400, Owensboro, KY 42301-6984 | 2014-06-04 |
| 1720498744 | Mary Alexia Wells | Speech-Language Pathologist | 3117 Alvey Park Drive W, Owensboro, KS 42303 | 2014-04-29 |
| 1215364328 | John P Pace II | Speech-Language Pathologist | 4755 Sydney Ln, Apt D, Owensboro, KY 42301-9677 | 2013-10-03 |
| 1174969067 | Mary Elizabeth Turner | Speech-Language Pathologist | 3271 Alvey Park Dr W Ste H, Owensboro, KY 42303-2466 | 2013-05-17 |
| 1356695019 | Lindsey Lile | Speech-Language Pathologist | 3271 Alvey Park Dr W, Suite H, Owensboro, KY 42303-2466 | 2012-11-02 |
| Find all providers in OWENSBORO | ||||
Please comment or provide details below to improve the information on TERESA H. WALLACE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.