Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1427440387 Individual Practitioner Female Practitioner

Colleen Bridget Wallace , MS, CCC-SLP

Speech-Language Pathologist • Anchorage, AK

Professional Overview & Biography Verified Profile Summary

Colleen Wallace, MS, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Anchorage, AK. Practice services are available at 4050 LAKE OTIS PKWY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4050 Lake Otis Pkwy
Suite 201

Anchorage, AK 995085223

Telephone 5054897764
Associated Practice Facility / Clinic
🏢 William E Erickson Anp Pc Facility NPI 1942352117

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Anchorage, AK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 23.0 Yrs
State Avg: 11.9 Yrs
Regional Practice Density
203 Specialists

Practicing in Anchorage, AK (418 Statewide)

Telehealth Adoption Rate
2.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-04-06
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License AK 489

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1031087 (AK)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

22 Associated Practitioners
NPI 1063604957

NURSEPRACTITIONER

Dr. Greg Harr , DMD

Dentist - General Practice

NPI 1134296759

Doctor of Dental Medicine

Annie Dunnack , MS CCC-SLP

Speech-Language Pathologist

NPI 1194071241

MSCCCSLP

Dr. Janet Lindeman , PhD

Psychologist - Clinical

NPI 1275759045

Doctor of Philosophy (Ph.D.)

Shannon Lamm

Speech-Language Pathologist

NPI 1285912758
Nichole Lachance , CCC

Speech-Language Pathologist

NPI 1326100629

Certificate of Clinical Competence

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
👤
Provider Name / Credentials Updated April 06, 2022

Recorded as COLLEEN WALLACE, M.S, CCC-SLP

NPI Profile Active March 02, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location March 02, 2015

Registered at 4050 LAKE OTIS PKWY, SUITE 201, ANCHORAGE, AK 995085223 (Tel: 5054897764)

📍
Updated Business Mailing Address March 02, 2015

Registered at 2201 ROMIG PL, # 406, ANCHORAGE, AK 995031680 (Tel: 5054897764)

👤
Provider Name / Credentials Updated March 02, 2015

Recorded as COLLEEN HILL, M.S, CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 02, 2015

Speech-Language Pathologist (License #489 in AK)

🟢
Initial NPI Registration & Enumeration March 02, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1427440387
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 02, 2015
Last Update: April 06, 2022
Sole Proprietor: Yes

Mailing Address

2201 Romig Pl, # 406

Anchorage, AK 995031680

Phone: 5054897764

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.