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BRENDA WALLACE SLP
NPI 1457482903
Speech-Language Pathologist in Albuquerque, NM

Active since March 08, 2007
712 GIRARD BLVD NE, JEFFERSON MS, ALBUQUERQUE, NM 87106(505) 255-2334 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Brenda Wallace Slp NPPES

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

BRENDA WALLACE SLP (NPI 1457482903) is an individual speech-language pathologist provider in Albuquerque, New Mexico, licensed in New Mexico (1338) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1457482903
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameBRENDA WALLACECredential: SLP
Location Address712 GIRARD BLVD NE, JEFFERSON MSAlbuquerque, NM 87106-2714
Mailing Address712 Girard Blvd Ne, Jefferson MsAlbuquerque, NM 87106-2714 · (505) 255-2334
Phone(505) 255-2334
Sole ProprietorYes
Enumeration DateMarch 8, 2007
Last NPPES UpdateJuly 9, 2007
✔ NPI 1457482903 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 NM · 1338
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.
712 GIRARD BLVD NE, Albuquerque, NM 87106
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Other Identifiers 1

MedicaidJ 5039NM

Other Providers at the Same Location NPPES 2

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

VALERIE HOOKHAM SW
Social Worker (School)
712 GIRARD BLVD NE, JEFFERSON MS
ALBUQUERQUE, NM 87106
Bernalillo County (505) 255-8691
ANGELICA ORTIZ CF-SLP
Speech-Language Pathologist
712 GIRARD BLVD NE
ALBUQUERQUE, NM 87106
Bernalillo County (505) 255-8691

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 Brenda Wallace's NPI number?

The NPI number for Brenda Wallace is 1457482903. It was assigned to this individual provider in the NPPES registry on March 8, 2007.

Where is Brenda Wallace located?

Brenda Wallace practices at 712 Girard Blvd NE Jefferson Ms, Albuquerque, NM 87106. The listed phone number is (505) 255-2334.

What is Brenda 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 Brenda Wallace was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.