Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1942406723 Individual Practitioner Female Practitioner

Johanna Wallace , MS CCC-SLP

Speech-Language Pathologist • Cypress, TX

Professional Overview & Biography Verified Profile Summary

Johanna Wallace, MS CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Cypress, TX. Practice services are available at 11440 MATZKE RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

11440 Matzke Rd

Cypress, TX 774295015

Telephone 8505120156

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Cypress, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.7 Yrs
State Avg: 14.3 Yrs
Regional Practice Density
115 Specialists

Practicing in Cypress, TX (17210 Statewide)

Telehealth Adoption Rate
0.9% 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: 2024-08-18
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License FL SA8966

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.

Practice Associates & Co-Workers

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

9 Associated Practitioners
Johanna Alquicira

Speech-Language Pathologist

NPI 1154706877
Alexys Mumford

Speech-Language Pathologist

NPI 1225890015
Justine Tijerina , CCC-SLP

Speech-Language Pathologist

NPI 1326591652

Speech-Language Pathologist (Certificate of Clinical Competence)

Karen West

Speech-Language Pathologist

NPI 1356157945
Carly Wishlow

Speech-Language Pathologist

NPI 1396303814
Selina Gutierrez , MS, SLP

Speech-Language Pathologist

NPI 1497203301

Master of Science, Speech-Language Pathologist

Career & Practice History Timeline

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

13 Historical Events
📍
Updated Practice Location August 18, 2024

Registered at 11440 MATZKE RD, CYPRESS, TX 774295015 (Tel: 8505120156)

📍
Updated Business Mailing Address August 18, 2024

Registered at 13727 WAVERLY CREST CT STE 200, CYPRESS, TX 774296831 (Tel: 8505120156)

NPI Profile Active August 25, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location August 25, 2017

Registered at 4100 N SAM HOUSTON PKWY W STE 240, HOUSTON, TX 770861466 (Tel: 8323786123)

📍
Updated Business Mailing Address August 25, 2017

Registered at 305 NE LOOP 820, BUSINESS TOWER 1, SUITE 200, HURST, TX 760537137 (Tel: (817) 292-8787)

👤
Provider Name / Credentials Updated August 25, 2017

Recorded as JOHANNA WALLACE, MS CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 25, 2017

Speech-Language Pathologist (License #SA8966 in FL)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 10125 VIXEN PL, PENSACOLA, FL 325147137 (Tel: 8505120156)

📍
Updated Business Mailing Address July 08, 2007

Registered at 10125 VIXEN PL, PENSACOLA, FL 325147137 (Tel: 8505120156)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as JOHANNA WALLACE, MS CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Speech-Language Pathologist (License #SA8966 in FL)

🟢
Initial NPI Registration & Enumeration June 26, 2007

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 Johanna Wallace. Be the first to share your experience!

Sign in to leave a review for Johanna Wallace

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

NPI Administrative Meta

NPI Number: 1942406723
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 26, 2007
Last Update: August 18, 2024
Sole Proprietor: Yes

Mailing Address

13727 Waverly Crest Ct Ste 200

Cypress, TX 774296831

Phone: 8505120156

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.