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KIMBERLY B WALLACE NPI 1194971507


NPI Information

NPI: 1194971507
Provider Name: KIMBERLY B WALLACE
Classification: Speech-Language Pathologist - 235Z00000X
Entity Type: Organization
Address:
7000 VALLEY DR
LITTLE ROCK, AR
ZIP 72209
Phone: (501) 447-6844
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KIMBERLY B WALLACE is a speech language pathologist in Little Rock, AR. The provider is 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. KIMBERLY B WALLACE NPI is 1194971507. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

7000 VALLEY DR
LITTLE ROCK, AR
ZIP 72209-522
Phone: (501) 447-6844

The provider's authorized official is Kimberly B. Wallace .
The authorized official title is Speech Pathologist and has the following contact phone number (501) 447-6844.

The enumeration date for this NPI number is 8/18/2008 and was last updated on 10/15/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1235Z00000XSpeech-Language PathologistAR#521ARKANSASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1SP#521OTHERARKANSASARKANSAS BOARD OF EXAMINERS IN SPEECH PATHOLOGY & AUDIOLOGY LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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