MRS. HOLLY WALLACE M.ED., CCC-SLP
NPI 1417186172
Speech-Language Pathologist in Virginia Beach, VA

Q: What is Holly Wallace's NPI number?

The NPI number for Holly Wallace is 1417186172. It was assigned to this individual provider in the NPPES registry on July 2, 2009.

Q: What is Holly Wallace's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Holly Wallace was last updated on July 2, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years 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.

Active since July 02, 2009

4560 PRINCESS ANNE RD, VIRGINIA BEACH, VA 23462(757) 474-1289 Get Directions Write a Review

NPPES record last updated: July 2, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mrs. Holly Wallace M.ed., Ccc-slp NPPES

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

MRS. HOLLY WALLACE M.ED., CCC-SLP (NPI 1417186172) is an individual speech-language pathologist provider in Virginia Beach, Virginia, licensed in Virginia (2202003129) and active in the NPI registry since July 2009.

NPPES Registry Identity

NPI1417186172

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameMRS. HOLLY WALLACECredential: M.ED., CCC-SLP

Location Address4560 PRINCESS ANNE RDVirginia Beach, VA 23462-7905

Mailing Address1213 Worthington LnVirginia Beach, VA 23464-5854

Phone(757) 474-1289

Sole ProprietorYes

Enumeration DateJuly 2, 2009

✔ NPI 1417186172 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 VA · 2202003129

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.

4560 PRINCESS ANNE RD, Virginia Beach, VA 23462

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Other Identifiers 1

Other2202003129VA · Virginia Slp License

Other Providers at the Same Location NPPES 20

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

OUR LADY OF PERPETUAL HELP HEALTH CENTER, INC

Nursing Facility/Intermediate Care Facility