ELLERY CAROLINE WALLACE MS, CCC-SLP
NPI 1699330597
Speech-Language Pathologist in Bowling Green, KY

Q: What is Ellery Wallace's NPI number?

The NPI number for Ellery Wallace is 1699330597. It was assigned to this individual provider in the NPPES registry on May 6, 2019. The provider is also known as Ellery Caroline Burkhead Bs, Rbt.

Q: What is Ellery 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 Ellery Wallace was last updated on January 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 May 06, 2019

2427 RUSSELLVILLE RD, BOWLING GREEN, KY 42101(270) 936-7472(317) 520-0820 Get Directions Write a Review

NPPES record last updated: January 26, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 13, 2023, Feb 22, 2023, May 6, 2019 (3 updates tracked since 2019).

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About Ellery Caroline Wallace Ms, Ccc-slp NPPES

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

ELLERY CAROLINE WALLACE MS, CCC-SLP (NPI 1699330597) is an individual speech-language pathologist provider in Bowling Green, Kentucky, licensed in Kentucky (286690) and active in the NPI registry since May 2019.

NPPES Registry Identity

NPI1699330597

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameELLERY CAROLINE WALLACECredential: MS, CCC-SLP

Location Address2427 RUSSELLVILLE RDBowling Green, KY 42101-3980

Mailing Address3500 Depauw Blvd Ste 3070Indianapolis, IN 46268-6135 · (855) 324-0885 · Fax (317) 520-8200

Phone(270) 936-7472

Fax(317) 520-0820

Sole ProprietorNo

Enumeration DateMay 6, 2019

Last NPPES UpdateJanuary 26, 20243 updates tracked since enumeration

NPPES CertifiedJuly 25, 2023

✔ NPI 1699330597 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 KY · 286690

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.

2427 RUSSELLVILLE RD, Bowling Green, KY 42101

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Other Names 1

Other Name (5)Ellery Caroline Burkhead Bs, Rbt

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

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