Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1154507820 Individual Practitioner Female Practitioner

Kathleen Peterson Wallace , MA, CCC-SLP

Speech-Language Pathologist • Covington, TN

Professional Overview & Biography Verified Profile Summary

Kathleen Wallace, MA, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Covington, TN. Practice services are available at 425 MCLILLIE LN under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

425 Mclillie Ln

Covington, TN 380196413

Telephone 9014767918

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Covington, TN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 13.2 Yrs
Regional Practice Density
12 Specialists

Practicing in Covington, TN (3778 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 TN SP 0000000512

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 January 12, 2008

NPI status registered as active in NPPES database

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Updated Practice Location January 12, 2008

Registered at 425 MCLILLIE LN, COVINGTON, TN 380196413 (Tel: 9014767918)

📍
Updated Business Mailing Address January 12, 2008

Registered at 425 MCLILLIE LN, COVINGTON, TN 380196413 (Tel: 9014767918)

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Provider Name / Credentials Updated January 12, 2008

Recorded as KATHLEEN WALLACE, MA, CCC-SLP

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 12, 2008

Speech-Language Pathologist (License #SP 0000000512 in TN)

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Initial NPI Registration & Enumeration January 12, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1154507820
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 12, 2008
Last Update: January 12, 2008
Sole Proprietor: No

Mailing Address

425 Mclillie Ln

Covington, TN 380196413

Phone: 9014767918

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.