Ellery Wallace, MS, CCC-SLP
NPI 1699330597 · Speech-Language Pathologist · Bowling Green, KY
Ellery Wallace, MS, CCC-SLP is a Speech-Language Pathologist provider in Bowling Green, KY (NPI 1699330597).
Provider details
- NPI number
- 1699330597
- Entity type
- Individual
- Primary specialty
- Speech-Language PathologistSpeech, Language and Hearing Service Providers
- Credential
- MS, CCC-SLP
- Sex
- Female
- Sole proprietor
- No
- License
- 286690 (KY)
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
7 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
- 2019-05-06
- Last updated
- 2024-01-26
- Certified
- 2023-07-25
Frequently asked questions
- What is Ellery Wallace's NPI number?
- Ellery Wallace's National Provider Identifier (NPI) is 1699330597, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ellery Wallace's specialty?
- Ellery Wallace is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist (Speech, Language and Hearing Service Providers).
- Where is Ellery Wallace located?
- Ellery Wallace's practice location on file with NPPES is 2427 Russellville Rd, Bowling Green, KY 42101-3980.
- What is Ellery Wallace's phone number?
- The practice phone number listed in the NPPES registry for Ellery Wallace is (270) 936-7472.
- Is Ellery Wallace's NPI active?
- Yes — Ellery Wallace's NPI (1699330597) is active in the NPPES registry as of the last update on 2024-01-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.