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Mary Louise Wallace, MA,CCC-SLP
Speech-Language Pathologist in Boulder, Colorado
NPI 1114020369

Mary Louise Wallace is a Speech-Language Pathologist based in Boulder, CO. Mary Louise Wallace practices in Boulder, CO and has the professional credentials of MA,CCC-SLP. The NPI Number for Mary Louise Wallace is 1114020369 and holds a License No. 00198044 (Colorado).

The current practice location address for Mary Louise Wallace is 6672 Gunpark Dr, Boulder, CO and can be reached out via phone at 303-530-9191. You can also correspond with Mary Louise Wallace through the mailing address at 6672 GUNPARK DR, BOULDER, CO - 80301-3387 (mailing address contact number: 303-530-9191).

Location: 6672 Gunpark Dr, Boulder, CO, 80301-3387
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114020369
Provider Name
Mary Louise Wallace
Credential
MA,CCC-SLP
Provider Entity Type
Individual
Gender
Female
Address
6672 Gunpark Dr, Boulder, CO, 80301-3387
Phone Number
303-530-9191
Fax Number
Provider Enumeration Date
09/06/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
07198047 05 CO
institution
Provider Business Practice Location Address Details
Address
6672 Gunpark Dr
City
Boulder
State
Colorado
Zip
80301-3387
Phone Number
303-530-9191
Fax Number
person
Provider Business Mailing Address Details
Address
6672 Gunpark Dr
City
Boulder
State
Colorado
Zip
80301-3387
Phone Number
303-530-9191
Fax Number
person
Provider's Taxonomy Details 1
Type
Speech, Language and Hearing Service Providers
Classification
Speech-Language Pathologist
Speciality
-
Taxonomy
235Z00000X
License No.
00198044 (Colorado)
Definition
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.
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