Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1174305171 Individual Practitioner Female Practitioner

Kelly Dugan Wallace

Speech-Language Pathologist • Columbus, OH

Professional Overview & Biography Verified Profile Summary

Kelly Wallace is a registered healthcare professional specializing in Speech-Language Pathologist in Columbus, OH. Practice services are available at 700 CHILDRENS DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

700 Childrens Dr

Columbus, OH 432052639

Telephone 6147222200
Fax 6143557943
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Columbus, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.3 Yrs
State Avg: 15.8 Yrs
Regional Practice Density
521 Specialists

Practicing in Columbus, OH (7718 Statewide)

Telehealth Adoption Rate
0.2% 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: 2025-02-17
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License OH SP.12578

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
0031321 (OH)

Secondary Practice Locations

26 Hospital Dr

Athens, OH 457012471

Phone: 6147222200

405 Butterfly Gardens Dr

Columbus, OH 432154985

Phone: 6147226200

399 E Main St

Newark, OH 430556516

Phone: 6143559779

2003 W 4th St

Ontario, OH 449061865

Phone: 5673076008

Practice Associates & Co-Workers

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

13 Associated Practitioners
Kelsey Halloran

Physical Therapist

NPI 1023995669
Julie Wright

Speech-Language Pathologist

NPI 1215272661
Jordan Roush

Occupational Therapist - Pediatrics

NPI 1306693304
Bridget Wright

Speech-Language Pathologist

NPI 1356875108
Meghan Krohn , LSW

Social Worker

NPI 1417898909

Licensed Social Worker

Allison Hull

Physical Therapist

NPI 1427820547

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active October 23, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location October 23, 2023

Registered at 700 CHILDRENS DR, COLUMBUS, OH 432052639 (Tel: 6147222200)

📍
Updated Business Mailing Address October 23, 2023

Registered at 700 CHILDRENS DR, COLUMBUS, OH 432052639 (Tel: 6147222000)

👤
Provider Name / Credentials Updated October 23, 2023

Recorded as KELLY WALLACE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 23, 2023

Speech-Language Pathologist (License #SP.12578 in OH)

🟢
Initial NPI Registration & Enumeration October 16, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1174305171
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 16, 2023
Last Update: February 17, 2025
Sole Proprietor: No

Mailing Address

700 Childrens Dr

Columbus, OH 432052639

Phone: 6147222000

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.