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Active NPI 1699330597 Individual Practitioner Female Practitioner

Ellery Caroline Wallace , MS, CCC-SLP

Speech-Language Pathologist • Bowling Green, KY

Professional Overview & Biography Verified Profile Summary

Ellery Wallace, MS, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Bowling Green, KY. Practice services are available at 2427 RUSSELLVILLE RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2427 Russellville Rd

Bowling Green, KY 421013980

Telephone 2709367472
Fax 3175200820
Associated Practice Facility / Clinic
🏢 Hopebridge, Llc Facility NPI 1821511692

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Bowling Green, KY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.2 Yrs
State Avg: 12.6 Yrs
Regional Practice Density
143 Specialists

Practicing in Bowling Green, KY (2945 Statewide)

Telehealth Adoption Rate
0.0% 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

CMS Verified: 2023-07-25
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License KY 286690

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

40 Associated Practitioners
Anastazia Raymer

Behavior Analyst

NPI 1003432154
David Skaggs

Behavior Technician

NPI 1003452103
Katelyn Hudgins , RBT

Behavior Technician

NPI 1003568155

Registered Behavior Technician

Elizabeth Gardner , RBT

Behavior Technician

NPI 1003570607

Registered Behavior Technician

Jessica Franklin , AS, RBT

Behavior Technician

NPI 1003677584

AS, Registered Behavior Technician

Dannae Ryan-Kessler , RBT

Behavior Technician

NPI 1003762667

Registered Behavior Technician

Career & Practice History Timeline

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

10 Historical Events
👤
Provider Name / Credentials Updated January 26, 2024

Recorded as ELLERY WALLACE, MS, CCC-SLP

👤
Provider Name / Credentials Updated July 13, 2023

Recorded as ELLERY BURKHEAD, MS, CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 13, 2023

Speech-Language Pathologist (License #286690 in KY)

👤
Provider Name / Credentials Updated February 22, 2023

Recorded as ELLERY BURKHEAD, MS, CFY

NPI Profile Active May 06, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location May 06, 2019

Registered at 2427 RUSSELLVILLE RD, BOWLING GREEN, KY 421013980 (Tel: 2709367472)

📍
Updated Business Mailing Address May 06, 2019

Registered at 3500 DEPAUW BLVD STE 3070, INDIANAPOLIS, IN 462686135 (Tel: 8553240885)

👤
Provider Name / Credentials Updated May 06, 2019

Recorded as ELLERY BURKHEAD, BS, RBT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 06, 2019

Behavior Technician (License #RBT-19-80820 in None)

🟢
Initial NPI Registration & Enumeration May 06, 2019

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: 1699330597
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 06, 2019
Last Update: January 26, 2024
Sole Proprietor: No

Mailing Address

3500 Depauw Blvd Ste 3070

Indianapolis, IN 462686135

Phone: 8553240885

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.