Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Amanda Wallace

Individual provider Speech-Language Pathologist · NPI 1053725952

Amanda Wallace is a Speech-Language Pathologist in Arvada, Colorado. Licensed in Colorado. Registered with an NPI since 2014.

Licensed in
CO
In the registry since
2014

Practice location Address checks out

12924 W 64th Dr Apt A
Arvada, CO 80004-6024
Phone: (517) 316-5042
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence SLP.0004212 (CO)

Record details

NPI number1053725952
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 18, 2014
Last updated in NPPESMarch 12, 2026
Certification dateMarch 12, 2026
Mailing address12924 W 64th Dr Apt A, Arvada, CO 80004-6024

Other providers in Arvada