Mary Wallace, MA, CCC-SLP
NPI 1114020369 · Speech-Language Pathologist · Boulder, CO
Mary Wallace, MA, CCC-SLP is a Speech-Language Pathologist provider in Boulder, CO (NPI 1114020369).
Provider details
- NPI number
- 1114020369
- Entity type
- Individual
- Primary specialty
- Speech-Language PathologistSpeech, Language and Hearing Service Providers
- Credential
- MA, CCC-SLP
- Sex
- Female
- Sole proprietor
- Yes
- License
- 00198044 (CO)
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
Mailing address
Registry dates
- Enumerated
- 2006-09-06
- Last updated
- 2007-07-09
Frequently asked questions
- What is Mary Wallace's NPI number?
- Mary Wallace's National Provider Identifier (NPI) is 1114020369, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mary Wallace's specialty?
- Mary Wallace is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist (Speech, Language and Hearing Service Providers).
- Where is Mary Wallace located?
- Mary Wallace's practice location on file with NPPES is 6672 Gunpark Dr, Boulder, CO 80301-3387.
- What is Mary Wallace's phone number?
- The practice phone number listed in the NPPES registry for Mary Wallace is (303) 530-9191.
- Is Mary Wallace's NPI active?
- Yes — Mary Wallace's NPI (1114020369) is active in the NPPES registry as of the last update on 2007-07-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.