Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1316974058 Individual Practitioner Female Practitioner

Jennifer Wallace , MS, CCC-SLP

Speech-Language Pathologist • Atlanta, GA

Professional Overview & Biography Verified Profile Summary

Jennifer Wallace, MS, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Atlanta, GA. Practice services are available at 1901 CENTURY BLVD NE STE 20 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1901 Century Blvd Ne Ste 20

Atlanta, GA 303453300

Telephone 4046338911
Fax 4046336403
Associated Practice Facility / Clinic
🏢 Auditory Verbal Center Inc Facility NPI 1578500930

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Atlanta, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.7 Yrs
State Avg: 14.3 Yrs
Regional Practice Density
523 Specialists

Practicing in Atlanta, GA (4796 Statewide)

Telehealth Adoption Rate
1.0% 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

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License GA SLP006206

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.

Practice Associates & Co-Workers

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

16 Associated Practitioners
Abigail Pritchett , MS, CCC-SLP

Speech-Language Pathologist

NPI 1043003205

Master of Science, Speech-Language Pathologist (Certificate of Clinical Competence)

Alison Tucker , M ED CCCSLP CERT AVT

Speech-Language Pathologist

NPI 1083687370

MEDCCCSLPCERTAVT

Stacey Vincent , MA CCC SLP

Speech-Language Pathologist

NPI 1093788382

MACCCSLP

NPI 1164477840

MSCCCA

Trusha Patel

Speech-Language Pathologist

NPI 1366122996
Elisamuel Rivera Gomez , MS, CCC-SLP

Speech-Language Pathologist

NPI 1376165399

Master of Science, Speech-Language Pathologist (Certificate of Clinical Competence)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 29, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location July 29, 2008

Registered at 1901 CENTURY BLVD NE STE 20, ATLANTA, GA 303453300 (Tel: 4046338911)

📍
Updated Business Mailing Address July 29, 2008

Registered at 1901 CENTURY BLVD NE STE 20, ATLANTA, GA 303453300 (Tel: 4046338911)

👤
Provider Name / Credentials Updated July 29, 2008

Recorded as JENNIFER WALLACE, MS, CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 29, 2008

Speech-Language Pathologist (License #SLP006206 in GA)

🟢
Initial NPI Registration & Enumeration June 27, 2006

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: 1316974058
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 27, 2006
Last Update: July 29, 2008
Sole Proprietor: No

Mailing Address

1901 Century Blvd Ne Ste 20

Atlanta, GA 303453300

Phone: 4046338911

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.