MEGAN NICOL WALLACE


Address: 1628 19th St, Lubbock, TX 79401-4895
Phone: 8062190500

MEGAN NICOL WALLACE (NPI# 1003385170) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1003385170
Entity Type Individual
Full Name MEGAN NICOL WALLACE
Other Name MEGAN NICOL SALES
Credential SLP
Practice Address 1628 19th St
Lubbock
TX 79401-4895
Practice Telephone 8062190500
Practice Fax Number 8067661286
Mailing Telephone 8062190500
Mailing Fax Number 8067661286
Enumeration Date 2018-11-19
Last Update Date 2018-11-19
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 235Z00000X Speech-Language Pathologist 113791 TX Speech, Language and Hearing Service Providers

Other Providers MEGAN WALLACE

NPI Name Taxonomy Address Enumeration
1447725957 Megan Elizabeth Wallace Behavior Technician 784 Kelsall Dr, Richmond Hill, GA 31324-7706 2018-10-11
1386181022 Megan Wallace Nurse Practitioner 2240 W Park Place Blvd Ste A, Stone Mountain, GA 30087-3543 2017-01-19
1972838878 Megan Ann Wallace Speech-Language Pathologist 1000 W 15th St, Unit 224, Chicago, IL 60608-1882 2009-10-09
1780123521 Megan E. Wallace Physician Assistant 9500 Euclid Ave, Cleveland, OH 44195-0001 2017-02-13
1326420720 Megan Wallace Social Worker 67 President St, Msc 861, Iop 2 South, Charleston, SC 29425-5712 2015-06-22
1174911168 Megan Wallace Nurse Anesthetist, Certified Registered 375 Dixmyth Ave, Cincinnati, OH 45220-2475 2014-12-30
1881095933 Megan Wallace Counselor 110 E Main St, Ottumwa, IA 52501-2910 2014-09-09
1306252473 Megan Wallace Occupational Therapist 162 W 72nd St, 5th Floor, New York, NY 10023-3300 2014-07-09
1306192810 Megan M Wallace Audiologist 2502 E Empire St, Bloomington, IL 61704-3738 2012-08-02
1518253905 Megan Wallace Speech-Language Pathologist 6180 Brockton Ave, Suite 202, Riverside, CA 92506-2228 2011-06-23

Office Location

Street Address 1628 19TH ST
City LUBBOCK
State TX
Zip Code 79401-4895

Providers in the same location

NPI Name Taxonomy Address Enumeration
1851365183 Tammy Artega Gilbert Counselor 1628 19th St, Lubbock, TX 79401-4832 2006-02-14
1689222077 Erin Stokes Marriage & Family Therapist 1628 19th St, Lubbock, TX 79401-4895 2019-08-28
1225696362 Heather Leigh Robertson Dietitian, Registered 1628 19th St, Lubbock, TX 79401 2019-06-04
1457810582 Kylee Brooke Stegall Occupational Therapist 1628 19th St, Lubbock, TX 79401-4832 2019-03-18
1144785221 Kelly Michelle Campbell Physical Therapist 1628 19th St, Lubbock, TX 79401-4895 2019-02-04
1942778428 Taylor Marie Simmons Speech-Language Pathologist 1628 19th St, Lubbock, TX 79401-4832 2018-11-02
1316413263 Nicole Veronica Garcia Speech-Language Pathologist 1628 19th St, Lubbock, TX 79401-4895 2018-10-18
1164998035 Abigail Hart Harris Speech-Language Pathologist 1628 19th St, Lubbock, TX 79401-4895 2018-10-18
1700368636 Kortney Lynn Gholson Counselor 1628 19th St, Lubbock, TX 79401-4832 2018-09-06
1366932931 Traci Louise Jackson Dietitian, Registered 1628 19th St, Lubbock, TX 79401-4895 2018-05-18
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1740688837 Cody Painter Student in an Organized Health Care Education/Training Program 43021 6th and Boston, Lubbock, TX 79401 2014-12-05
1730412511 Chiara Eberhardt Counselor 1614 Ave K, Lubbock, TX 79401 2009-09-11
1528265535 City of Lubbock Clinic/Center 80618th Street, Lubbock, TX 79401 2007-07-02
1184784084 Cc Home Health of Lubbock LLC Technician 2118 Broadway Ave, Lubbock, TX 79401 2006-12-11
1003997768 Charles Hudson Family Medicine Concord Medical Group, 1602 Avenue Q, Lubbock, TX 79401 2006-10-18
1003904376 Thi of Texas At Lubbock II, LLC Skilled Nursing Facility 1401 9th Street, Lubbock, TX 79401 2006-10-11
1174514681 United Supermarkets LLC Pharmacy 1610 5th St, Lubbock, TX 79401 2005-11-03
1669470332 Jose A Suarez Internal Medicine 1655 Main St Ste 201, Lubbock, TX 79401 2005-07-07
1801116314 Anju Varghese-thomas Dentist 2402 19th St, Lubbock, TX 79401 2010-06-07
1356460554 Community Health Center of Lubbock Inc. Clinic/Center 1610 5th St, Lubbock, TX 79401 2007-03-28
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Taxonomy Information

Taxonomy Code 235Z00000X
Grouping Speech, Language and Hearing Service Providers
Classification Speech-Language Pathologist

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1427688589 Jessica Marie Sigala Speech-Language Pathologist 7302 80th St, Lubbock, TX 79424-5210 2020-01-16
1861036246 Olivia Brown Speech-Language Pathologist 2521 53rd St, Lubbock, TX 79413-4407 2019-10-29
1861044992 Shacambre Au'jna Pipkins Speech-Language Pathologist 1817 79th Pl, Lubbock, TX 79423-2409 2019-07-09
1881252799 Ciara Gabrielle Sauceda Speech-Language Pathologist 3006 78th St, Lubbock, TX 79423-1814 2019-06-05
1134787377 April Denise Gardea Speech-Language Pathologist 6502 Slide Road Suite 204, Lubbock, TX 79424 2019-06-03
1740761303 Kandis Lee Brothers Speech-Language Pathologist 507 Mlk Blvd, Lubbock, TX 79403-5213 2018-08-22
1437662897 Shelley Rene King Speech-Language Pathologist 5225 South Loope 289, Ste 210, Lubbock, TN 79424-1319 2017-11-08
1790297687 Sarah Olcese Durham Speech-Language Pathologist 6502 Slide Rd Ste 130, Lubbock, TX 79424-1311 2017-10-31
1871010769 Kalin Nichole Day Speech-Language Pathologist 6502 Slide Rd Ste 602, Lubbock, TX 79424-1329 2017-08-23
1144745787 Flatland Therapy, Pllc Speech-Language Pathologist 4011 88th St, Lubbock, TX 79423-2912 2017-08-04
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Competitor

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City LUBBOCK
Zip Code 79401

Improve Information

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Dataset Information

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.

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