Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1366646457 Individual Practitioner Female Practitioner

Susan Taylor Wallace

Speech-Language Pathologist • Fayetteville, NC

Professional Overview & Biography Verified Profile Summary

Susan Wallace is a registered healthcare professional specializing in Speech-Language Pathologist in Fayetteville, NC. Practice services are available at 3409 CONNECTION DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3409 Connection Dr

Fayetteville, NC 283110151

Telephone 9103094089
Fax 9104881816

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Fayetteville, NC

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 8.0 Yrs
State Avg: 15.0 Yrs
Regional Practice Density
196 Specialists

Practicing in Fayetteville, NC (7242 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 NC 2112

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

6 Historical Events
NPI Profile Active June 03, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location June 03, 2013

Registered at 3409 CONNECTION DR, FAYETTEVILLE, NC 283110151 (Tel: 9103094089)

📍
Updated Business Mailing Address June 03, 2013

Registered at 3409 CONNECTION RD, FAYETTEVILLE, NC 283110151 (Tel: 9108221318)

👤
Provider Name / Credentials Updated June 03, 2013

Recorded as SUSAN WALLACE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 03, 2013

Speech-Language Pathologist (License #2112 in NC)

🟢
Initial NPI Registration & Enumeration June 12, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1366646457
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 12, 2007
Last Update: June 03, 2013
Sole Proprietor: No

Mailing Address

3409 Connection Rd

Fayetteville, NC 283110151

Phone: 9108221318

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.