Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1780185645 Individual Practitioner Female Practitioner

Katherine Hanta Wallisch , MS, CCC-SLP

Speech-Language Pathologist • Las Vegas, NV

Professional Overview & Biography Verified Profile Summary

Katherine Wallisch, MS, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Las Vegas, NV. Practice services are available at 9260 W SUNSET RD STE 204 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

9260 W Sunset Rd Ste 204

Las Vegas, NV 891484903

Telephone 7023559862
Fax 8883164826
Associated Practice Facility / Clinic
🏢 The Aac Speech Clinic, Llc Facility NPI 1417454612

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Las Vegas, NV

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.6 Yrs
State Avg: 11.6 Yrs
Regional Practice Density
453 Specialists

Practicing in Las Vegas, NV (916 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: 2020-09-22
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License NV SP-2267

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.

Rehabilitation Counselor - Assistive Technology Practitioner

NUCC Taxonomy Code: 225CA2400X

Definition to come...

Clinic/Center - Augmentative Communication

NUCC Taxonomy Code: 261QA3000X

An entity, facility, or distinct part of a facility staffed by audiology and/or speech professionals with special training in the evaluation of a patient's potential for use of an augmentative communication device, determination of the most appropriate device, adjustment and maintenance of the device, and training the patient to use the device.

Secondary Practice Locations

11091 Kilkerran Ct

Las Vegas, NV 891414356

Phone: 2022579432

Practice Associates & Co-Workers

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

6 Associated Practitioners
Lucero Montes De Oca Lopez

Speech-Language Pathologist

NPI 1033668447
Antoinette Cuomo , COTA

Occupational Therapy Assistant

NPI 1033702840

Certified Occupational Therapy Assistant

Amanda Avalos , MA CCC-SLP

Speech-Language Pathologist

NPI 1588335582

MACCCSLP

Scott Kesterson , CCC-SLP

Speech-Language Pathologist

NPI 1891273314

Speech-Language Pathologist (Certificate of Clinical Competence)

Stephanie Knorr

Speech-Language Pathologist

NPI 1922657741
Rebekah Caballero-Perez

Occupational Therapist

NPI 1992395107

Career & Practice History Timeline

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

16 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 22, 2020

Rehabilitation Counselor

📍
Updated Practice Location October 17, 2019

Registered at 9260 W SUNSET RD STE 204, LAS VEGAS, NV 891484903 (Tel: 7023559862)

📍
Updated Business Mailing Address October 17, 2019

Registered at 10300 W CHARLESTON BLVD, SUITE 13-J19, LAS VEGAS, NV 891355008

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 17, 2019

Clinic/Center

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 27, 2018

Rehabilitation Counselor

📍
Updated Practice Location June 11, 2018

Registered at 4450 S HUALAPAI WAY UNIT 1296, LAS VEGAS, NV 89147 (Tel: 7023559862)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 11, 2018

Clinic/Center

📍
Updated Practice Location April 12, 2018

Registered at 4450 S HUALAPAI WAY UNIT 1296, LAS VEGAS, NV 891477283 (Tel: 7023559862)

📍
Updated Business Mailing Address April 12, 2018

Registered at 4450 S HUALAPAI WAY UNIT 1296, LAS VEGAS, NV 891477283

👤
Provider Name / Credentials Updated April 12, 2018

Recorded as KATHERINE WALLISCH, M.S., CCC-SLP

NPI Profile Active February 26, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location February 26, 2018

Registered at 11091 KILKERRAN CT, LAS VEGAS, NV 891414356 (Tel: 2022579432)

📍
Updated Business Mailing Address February 26, 2018

Registered at 11091 KILKERRAN CT, LAS VEGAS, NV 891414356

👤
Provider Name / Credentials Updated February 26, 2018

Recorded as KATHERINE RATSIMBAZAFY, M.S., CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 26, 2018

Speech-Language Pathologist

🟢
Initial NPI Registration & Enumeration February 26, 2018

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: 1780185645
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 26, 2018
Last Update: September 22, 2020
Sole Proprietor: Yes

Mailing Address

10300 W Charleston Blvd, Suite 13-J19

Las Vegas, NV 891355008

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.