MRS. MEGAN WALLACE (NPI# 1518253905) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518253905 |
| Entity Type | Individual |
| Full Name | MRS. MEGAN WALLACE |
| Credential | M.S., C.C.C-SLP |
| Practice Address |
6180 Brockton Ave Suite 202 Riverside CA 92506-2228 |
| Mailing Address |
12679 Twin Peak Ct Riverside CA 92503-8403 |
| Practice Telephone | 9516846500 |
| Mailing Telephone | 9516846500 |
| Enumeration Date | 2011-06-23 |
| Last Update Date | 2011-06-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 19025 | CA | Speech, Language and Hearing Service Providers |
| 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 |
| 1003385170 | Megan Nicol Wallace | Speech-Language Pathologist | 1628 19th St, Lubbock, TX 79401-4895 | 2018-11-19 |
| 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 |
| Street Address |
6180 BROCKTON AVE SUITE 202 |
| City | RIVERSIDE |
| State | CA |
| Zip Code | 92506-2228 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558306696 | Matrix Rehabilitation, Inc. | Clinic/Center | 6180 Brockton Ave, Suite 101, Riverside, CA 92506-2259 | 2006-06-20 |
| 1699322347 | Emily Wadell | Physical Therapist | 6180 Brockton Ave, Riverside, CA 92506-2228 | 2019-08-19 |
| 1831614031 | Catherine Luong | Physical Therapist | 6180 Brockton Ave, Riverside, CA 92506-2228 | 2017-08-08 |
| 1639602048 | Dan Thap | Physical Therapist | 6180 Brockton Ave, Riverside, CA 92506-2228 | 2017-04-04 |
| 1083075519 | Loida Eunice Ortiz | Speech-Language Pathologist | 6180 Brockton Ave, Suite 102, Riverside, CA 92506-2228 | 2016-03-10 |
| 1528478062 | Deborah Justine Welcome | Occupational Therapist | 6180 Brockton Ave, 102, Riverside, CA 92506-2228 | 2014-05-06 |
| 1639517899 | Brittany Kennedy | Specialist/Technologist | 6180 Brockton Ave, Riverside, CA 92506-2228 | 2013-06-10 |
| 1790122190 | Danielle Carpenter | Speech-Language Pathologist | 6180 Brockton Ave, Riverside, CA 92506-2228 | 2013-05-28 |
| 1992047773 | Up and Movin Therapy | Clinic/Center | 6180 Brockton Ave, Riverside, CA 92506-2228 | 2013-03-20 |
| 1598015463 | Phelan Cole | Physical Therapist | 6180 Brockton Ave, Ste 101, Riverside, CA 92506-2228 | 2012-09-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902405715 | Riverside Primary Care Clinic, Joanna Ayala Md | Clinic/Center | 3978 Merrill Ave, Riverside, CA 92506 | 2020-10-22 |
| 1336747005 | Beatriz Arredondo | Behavioral Analyst | 6117 Brockton Avenue Ste. 202, Riverside, CA 92506 | 2020-10-14 |
| 1740756782 | Priscilla Marie Rodriguez | Social Worker | 3742 Tibbets St Suite 201, Riverside, CA 92506 | 2018-10-17 |
| 1922593946 | Prevail Health Solutions, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 7450 Chateau Ridge Ln, Riverside, CA 92506 | 2018-06-22 |
| 1831691880 | Mckinley Children's Center | Community/Behavioral Health | 6700 Indiana Avenue, Suite 280, Riverside, CA 92506 | 2018-03-06 |
| 1720590946 | Leticia Dilworth | Behavioral Analyst | 3610 Central Ave Ste 46, Riverside, CA 92506 | 2017-10-27 |
| 1548771736 | Usa Biosciences LLC | Clinical Medical Laboratory | 5750 Division St Ste 109, Riverside, CA 92506 | 2017-10-16 |
| 1922542273 | Yazmar Sevilla-perez | Physical Therapist | 6852 Brockton Ave., Suite 212, Riverside, CA 92506 | 2016-12-06 |
| 1821547605 | Pathway To Healing, Marriage and Family Therapy, Inc. | Marriage & Family Therapist | 5790 Magnolia Ave., Ste 202, Rm F, Riverside, CA 92506 | 2016-09-22 |
| 1952857542 | Kramer and Nguyen Dental Corporation | Dentist | 3602 Riverside Plaza Dr, Ste 101, Riverside, CA 92506 | 2016-09-01 |
| Find all providers in zip 92506 | ||||
| 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 |
|---|---|---|---|---|
| 1548887003 | Vilija Aleksa | Speech-Language Pathologist | 248 Olmsted Rd, Riverside, IL 60546-2353 | 2020-07-01 |
| 1275195802 | Christina Alicia Boyd | Speech-Language Pathologist | 9172 Shaddock Cir, Riverside, CA 92508-6452 | 2019-07-03 |
| 1336700673 | Cynthia Marie Byward | Speech-Language Pathologist | 4592 Brentwood Ave, Riverside, CA 92506-1062 | 2019-06-26 |
| 1013442672 | Sandra Loera | Speech-Language Pathologist | 3516 Banbury Dr Apt 219, Riverside, CA 92505-1936 | 2017-04-20 |
| 1972056166 | Jane Murray | Speech-Language Pathologist | 6 Pearce Ave, Riverside, RI 02915-2421 | 2016-07-25 |
| 1023469004 | Brett Hutter | Speech-Language Pathologist | 3610 Central Ave Fl 4, Riverside, CA 92506 | 2016-06-30 |
| 1396106605 | Megan R Gambino | Speech-Language Pathologist | 6670 Alessandro Blvd Ste G, Riverside, CA 92506-5334 | 2016-03-14 |
| 1871961649 | Diane Chiappetta Fox | Speech-Language Pathologist | 40 Bonwit Rd, Riverside, CT 06878-1215 | 2015-09-09 |
| 1295102697 | Sydney Hasson | Speech-Language Pathologist | 6430 Merlin Dr, Riverside, CA 92506-5135 | 2015-09-01 |
| 1154707123 | Emily Sadeghi | Speech-Language Pathologist | 17120 Crestpeak Ct, Riverside, CA 92503-8720 | 2015-07-31 |
| Find all providers in RIVERSIDE | ||||
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| 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.