Samantha Wallace, MA, CCC-SLP
NPI 1912516964 · Speech-Language Pathologist · Fayetteville, NC
Samantha Wallace, MA, CCC-SLP is a Speech-Language Pathologist provider in Fayetteville, NC (NPI 1912516964).
Provider details
- NPI number
- 1912516964
- Entity type
- Individual
- Primary specialty
- Speech-Language PathologistSpeech, Language and Hearing Service Providers
- Credential
- MA, CCC-SLP
- Sex
- Female
- Sole proprietor
- No
- License
- 14234 (NC)
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
5 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
- 2020-07-27
- Last updated
- 2020-07-27
- Certified
- 2020-07-27
Frequently asked questions
- What is Samantha Wallace's NPI number?
- Samantha Wallace's National Provider Identifier (NPI) is 1912516964, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Samantha Wallace's specialty?
- Samantha Wallace is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist (Speech, Language and Hearing Service Providers).
- Where is Samantha Wallace located?
- Samantha Wallace's practice location on file with NPPES is 1289 Oliver St, Fayetteville, NC 28304-4450.
- What is Samantha Wallace's phone number?
- The practice phone number listed in the NPPES registry for Samantha Wallace is (910) 483-8331.
- Is Samantha Wallace's NPI active?
- Yes — Samantha Wallace's NPI (1912516964) is active in the NPPES registry as of the last update on 2020-07-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.