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VICKI R WALLACE MS, CCC-A
NPI 1447420484
Audiologist in Fairmont, WV

Active since March 05, 2008
200 GASTON AVE, FAIRMONT, WV 26554(304) 624-6554(304) 624-5223 Get Directions Write a Review

NPPES record last updated: March 5, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Vicki R Wallace Ms, Ccc-a NPPES

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

VICKI R WALLACE MS, CCC-A (NPI 1447420484) is an individual audiologist in Fairmont, West Virginia, licensed in West Virginia (A-0039) and active in the NPI registry since March 2008.

NPPES Registry Identity

NPI1447420484
Entity TypeIndividualFemale
Primary Taxonomy231H00000X
Provider Legal NameVICKI R WALLACECredential: MS, CCC-A
Location Address200 GASTON AVEFairmont, WV 26554-2739
Mailing Address200 Gaston AveFairmont, WV 26554-2739 · (304) 624-6554 · Fax (304) 624-5223
Phone(304) 624-6554
Fax(304) 624-5223
Sole ProprietorYes
Enumeration DateMarch 5, 2008
✔ NPI 1447420484 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAudiologistSpeech, Language and Hearing Service Providers
Taxonomy Code231H00000X
License✔ Licensed in WV · A-0039
Definition
(1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master's degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy.
200 GASTON AVE, Fairmont, WV 26554
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Other Identifiers 1

Medicaid0160325000WV

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.

MRS. MOLLY BETH GREENE MS CCC/SLP
Speech-Language Pathologist
200 GASTON AVE
FAIRMONT, WV 26554
Marion County (304) 624-6554
AMY JO SHANNON SLP
Speech-Language Pathologist
200 GASTON AVE
FAIRMONT, WV 26554
Marion County (304) 624-6554
KAREN JEAN EDGELL MS,CAS,NCSP
Psychologist (School)
200 GASTON AVE
FAIRMONT, WV 26554
Marion County (304) 624-6554
STEPHANIE RHEA BIAFORE MS,CCC-SLP
Speech-Language Pathologist
200 GASTON AVE
FAIRMONT, WV 26554
Marion County (304) 624-6554
SUSAN JANE ROWAND MS,CCC/SLP
Speech-Language Pathologist
200 GASTON AVE
FAIRMONT, WV 26554
Marion County (304) 624-6554
JAIME SUE TENNEY MS,CCC/SLP
Speech-Language Pathologist
200 GASTON AVE
FAIRMONT, WV 26554
Marion County (304) 624-6554
KIMBERLY KATHLEEN DARWAY MS,CCC/SLP
Speech-Language Pathologist
200 GASTON AVE
FAIRMONT, WV 26554
Marion County (304) 624-6554
MARION COUNTY BOARD OF EDUCATION
Local Education Agency (LEA)
200 GASTON AVE
FAIRMONT, WV 26554
Marion County (304) 624-6554

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 Vicki Wallace's NPI number?

The NPI number for Vicki Wallace is 1447420484. It was assigned to this individual provider in the NPPES registry on March 5, 2008.

Where is Vicki Wallace located?

Vicki Wallace practices at 200 Gaston Ave, Fairmont, WV 26554. The listed phone number is (304) 624-6554.

What is Vicki Wallace's specialty?

The primary specialty registered for this NPI is Audiologist with taxonomy code 231H00000X.

When was this NPI record last updated?

The NPPES record for Vicki Wallace was last updated on March 5, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.