Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1053725952 Individual Practitioner Female Practitioner

Amanda Wallace

Speech-Language Pathologist • Arvada, CO

Professional Overview & Biography Verified Profile Summary

Amanda Wallace is a registered healthcare professional specializing in Speech-Language Pathologist in Arvada, CO. Practice services are available at 12924 W 64TH DR APT A under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

12924 W 64th Dr Apt A

Arvada, CO 800046024

Telephone 5173165042
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Arvada, CO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.2 Yrs
State Avg: 10.8 Yrs
Regional Practice Density
52 Specialists

Practicing in Arvada, CO (4289 Statewide)

Telehealth Adoption Rate
1.9% 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: 2026-03-12
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License CO SLP.0004212

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.

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location March 12, 2026

Registered at 12924 W 64TH DR APT A, ARVADA, CO 800046024 (Tel: 5173165042)

📍
Updated Business Mailing Address March 12, 2026

Registered at 12924 W 64TH DR APT A, ARVADA, CO 800046024 (Tel: 5173165042)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 12, 2026

Speech-Language Pathologist (License #SLP.0004212 in CO)

NPI Profile Active June 18, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location June 18, 2014

Registered at 40W310 LAFOX RD, SUITE A1/B1, ST CHARLES, IL 601756588 (Tel: 6304440077)

📍
Updated Business Mailing Address June 18, 2014

Registered at 12 HARRISON ST, APT 3, OAK PARK, IL 603041771

👤
Provider Name / Credentials Updated June 18, 2014

Recorded as AMANDA WALLACE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 18, 2014

Speech-Language Pathologist (License #242.003032 in IL)

🟢
Initial NPI Registration & Enumeration June 18, 2014

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: 1053725952
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 18, 2014
Last Update: March 12, 2026
Sole Proprietor: No

Mailing Address

12924 W 64th Dr Apt A

Arvada, CO 800046024

Phone: 5173165042

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.