Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1316282205 Individual Practitioner Female Practitioner

Davina Wallace , MS, CCC-SLP

Speech-Language Pathologist • Tampa, FL

Professional Overview & Biography Verified Profile Summary

Davina Wallace, MS, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Tampa, FL. Practice services are available at 12768 WOOD TRAIL BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

12768 Wood Trail Blvd

Tampa, FL 336255905

Telephone 8132156275
Fax 8666360443
Associated Practice Facility / Clinic
🏢 Learn2speak.net Llc Facility NPI 1578055158

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Tampa, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.1 Yrs
State Avg: 16.7 Yrs
Regional Practice Density
644 Specialists

Practicing in Tampa, FL (11640 Statewide)

Telehealth Adoption Rate
1.7% 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: 2020-12-15
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License FL SA3018

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.

Developmental Therapist

NUCC Taxonomy Code: 222Q00000X

A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Developmental Therapy Association. A developmental therapist evaluates children's global development in order to identify areas of developmental delay whether arising from physiological, neurological, or environmental factors, or a combination of factors; and designs, implements, and modifies therapeutic interventions for the child and the family to promote the child's acquisition of skills in a variety of developmental areas, including cognitive processes and social interaction in order to maximize functional independence and developmental homeostasis, and improve the quality of life at home and in the community; and provides consultation for the parents and other professionals working with the family on global development.

Practice Associates & Co-Workers

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

8 Associated Practitioners
Zara Miller

Developmental Therapist

NPI 1417836776
Cristina Harper

Speech-Language Pathologist

NPI 1528734191
Heidi Mathey

Developmental Therapist

NPI 1568133973
Ingrid Lerma

Developmental Therapist

NPI 1700552544
Kristina Lebron

Developmental Therapist

NPI 1700553286
Joanna Johnson

Developmental Therapist

NPI 1851912505

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Practice Location December 15, 2020

Registered at 12768 WOOD TRAIL BLVD, TAMPA, FL 336255905 (Tel: 8132156275)

📍
Updated Business Mailing Address December 15, 2020

Registered at 13014 N DALE MABRY HWY STE 659, TAMPA, FL 336182808 (Tel: 8132156275)

📍
Updated Practice Location May 29, 2018

Registered at 10501 ROCHESTER WAY, TAMPA, FL 33626 (Tel: 8138330090)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 29, 2018

Developmental Therapist

NPI Profile Active December 03, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location December 03, 2012

Registered at 10501 ROCHESTER WAY, TAMPA, FL 336261711 (Tel: 8138330090)

📍
Updated Business Mailing Address December 03, 2012

Registered at 10501 ROCHESTER WAY, TAMPA, FL 336261711 (Tel: 8138330090)

👤
Provider Name / Credentials Updated December 03, 2012

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

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 03, 2012

Speech-Language Pathologist (License #SA3018 in FL)

🟢
Initial NPI Registration & Enumeration December 03, 2012

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: 1316282205
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 03, 2012
Last Update: December 15, 2020
Sole Proprietor: Yes

Mailing Address

13014 N Dale Mabry Hwy Ste 659

Tampa, FL 336182808

Phone: 8132156275

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.