AMANDA WALLACE
NPI 1053725952
Speech-Language Pathologist in Arvada, CO

Active since June 18, 2014
12924 W 64TH DR APT A, ARVADA, CO 80004(517) 316-5042 Get Directions Write a Review

NPPES record last updated: March 12, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Amanda Wallace NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMANDA WALLACE (NPI 1053725952) is an individual speech-language pathologist provider in Arvada, Colorado, licensed in Colorado (SLP.0004212) and active in the NPI registry since June 2014.

NPPES Registry Identity

NPI1053725952
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameAMANDA WALLACE
Location Address12924 W 64TH DR APT AArvada, CO 80004-6024
Mailing Address12924 W 64th Dr Apt AArvada, CO 80004-6024 · (517) 316-5042
Sole ProprietorNo
Enumeration DateJune 18, 2014
Last NPPES UpdateMarch 12, 2026
NPPES CertifiedMarch 12, 2026
NPI 1053725952 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License Licensed in CO · SLP.0004212
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.
12924 W 64TH DR APT A, Arvada, CO 80004

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Speech-Language Pathologist
12924 W 64TH DR APT A
ARVADA, CO 80004

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amanda Wallace's NPI number?

The NPI number for Amanda Wallace is 1053725952. It was assigned to this individual provider in the NPPES registry on June 18, 2014.

Where is Amanda Wallace located?

Amanda Wallace practices at 12924 W 64th Dr Apt A, Arvada, CO 80004. The listed phone number is (517) 316-5042.

What is Amanda Wallace's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

When was this NPI record last updated?

The NPPES record for Amanda Wallace was last updated on March 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.