IndividualActive
Ann Wallace, MS SPEECH PATHOLOGY
NPI 1013240340 · Speech-Language Pathologist · Canyon, TX
Provider details
- NPI number
- 1013240340
- Entity type
- Individual
- Primary specialty
- Speech-Language PathologistSpeech, Language and Hearing Service Providers
- Credential
- MS SPEECH PATHOLOGY
- Sex
- Female
- Sole proprietor
- No
- License
- 13774 (TX)
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2620 Russell Long Blvd
Vhac 242, Dept. of Comm. Dis.
Canyon, TX 79016-0001
Phone: (806) 651-5114
Fax: (806) 651-5105
Street-level locationGet directions
Mailing address
Po Box 60757
Canyon, TX 79016-0001
Registry dates
- Enumerated
- 2009-09-18
- Last updated
- 2012-06-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.