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SAMANTHA ANNE WALLACE MA, CCC-SLP
NPI 1912516964
Speech-Language Pathologist in Fayetteville, NC

Active since July 27, 2020
1289 OLIVER ST, FAYETTEVILLE, NC 28304(910) 483-8331(910) 483-8335 Get Directions Write a Review

NPPES record last updated: July 27, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Samantha Anne Wallace Ma, Ccc-slp NPPES

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

SAMANTHA ANNE WALLACE MA, CCC-SLP (NPI 1912516964) is an individual speech-language pathologist provider in Fayetteville, North Carolina, licensed in North Carolina (14234) and active in the NPI registry since July 2020.

NPPES Registry Identity

NPI1912516964
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameSAMANTHA ANNE WALLACECredential: MA, CCC-SLP
Location Address1289 OLIVER STFayetteville, NC 28304-4450
Mailing AddressPo Box 87294Fayetteville, NC 28304-7294 · (910) 483-8331 · Fax (910) 483-8335
Phone(910) 483-8331
Fax(910) 483-8335
Sole ProprietorNo
Enumeration DateJuly 27, 2020
NPPES CertifiedJuly 27, 2020
✔ NPI 1912516964 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 NC · 14234
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.
1289 OLIVER ST, Fayetteville, NC 28304
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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.

KRISTI WILKINS
Physical Therapist
1289 OLIVER ST
FAYETTEVILLE, NC 28304
Cumberland County (910) 483-8331
KRISTEN ANNA SINGLEMAN MS CCC-SLP
Speech-Language Pathologist
1289 OLIVER ST
FAYETTEVILLE, NC 28304
Cumberland County (910) 483-8331
LADINE LIPINSKI OT
Occupational Therapist (Pediatrics)
1289 OLIVER ST
FAYETTEVILLE, NC 28304
Cumberland County (910) 483-8331
MELISSA RACHEL BROWN OTD, OTR/L
Occupational Therapist
1289 OLIVER ST
FAYETTEVILLE, NC 28304
Cumberland County (910) 483-8331
TOBI ALYSSA FULLER PT, DPT
Physical Therapist
1289 OLIVER ST
FAYETTEVILLE, NC 28304
Cumberland County (910) 483-8331
STACY WILSON SLP
Speech-Language Pathologist
1289 OLIVER ST
FAYETTEVILLE, NC 28304
Cumberland County (910) 483-8331
ELIZABETH B PETERSON PT
Physical Therapist
1289 OLIVER ST
FAYETTEVILLE, NC 28304
Cumberland County (910) 483-8331
KELLY REICHERT
Occupational Therapist
1289 OLIVER ST
FAYETTEVILLE, NC 28304
Cumberland County (910) 483-8331

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 Samantha Wallace's NPI number?

The NPI number for Samantha Wallace is 1912516964. It was assigned to this individual provider in the NPPES registry on July 27, 2020.

Where is Samantha Wallace located?

Samantha Wallace practices at 1289 Oliver St, Fayetteville, NC 28304. The listed phone number is (910) 483-8331.

What is Samantha 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 Samantha Wallace was last updated on July 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.