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BRENDA WALLACE SLP NPI 1457482903


NPI Information

NPI: 1457482903
Provider Name: BRENDA WALLACE, SLP
Classification: Speech-Language Pathologist - 235Z00000X
Entity Type: Individual
Address:
712 GIRARD BLVD NE
JEFFERSON MS
ALBUQUERQUE, NM
ZIP 87106
Phone: (505) 255-2334
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Brenda Wallace, SLP is a speech language pathologist in Albuquerque, NM. 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. Brenda Wallace, SLP NPI is 1457482903. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

712 GIRARD BLVD NE
JEFFERSON MS
ALBUQUERQUE, NM
ZIP 87106-714
Phone: (505) 255-2334

The enumeration date for this NPI number is 3/8/2007 and was last updated on 7/9/2007.


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 Pathologist1338NEW MEXICOYes

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
1J 5039MEDICAIDNEW MEXICO

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: 4/28/2024

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