Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1417026402 Deactivated / Inactive NPI Female Practitioner

Teresa H. Wallace

Speech-Language Pathologist • Owensboro, KY

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Teresa Wallace has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 06, 2006
NPI Deactivation Date January 28, 2022
Total Practice Duration ~16 Years of Practice (2006 – 2022)

Professional Overview & Biography Verified Profile Summary

Teresa Wallace was a registered Speech-Language Pathologist practicing in Owensboro, KY. Throughout an active medical career spanning 16 years, Teresa Wallace provided care at the practice location at 1511 COPPER CREEK DR until profile deactivation on 2022-01-28.

Practice Location & Contact Primary Location

Practice Address

1511 Copper Creek Dr

Owensboro, KY 423031797

Telephone 2709298642
Fax 2706847314

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Owensboro, KY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.9 Yrs
State Avg: 12.6 Yrs
Regional Practice Density
101 Specialists

Practicing in Owensboro, 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

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License KY 0864

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

7 Historical Events
⚠️
NPI Profile Deactivated January 28, 2022

Record deactivated on January 28, 2022

NPI Profile Active June 07, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location June 07, 2016

Registered at 1511 COPPER CREEK DR, OWENSBORO, KY 423031797 (Tel: 2709298642)

📍
Updated Business Mailing Address June 07, 2016

Registered at 1511 COPPER CREEK DR, OWENSBORO, KY 423031797 (Tel: 2709298642)

👤
Provider Name / Credentials Updated June 07, 2016

Recorded as TERESA WALLACE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 07, 2016

Speech-Language Pathologist (License #0864 in KY)

🟢
Initial NPI Registration & Enumeration November 06, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Teresa Wallace. Be the first to share your experience!

Sign in to leave a review for Teresa Wallace

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1417026402
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 06, 2006
Last Update: June 07, 2016
Deactivation Date: January 28, 2022

Mailing Address

1511 Copper Creek Dr

Owensboro, KY 423031797

Phone: 2709298642

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.