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

Individual provider Speech-Language Pathologist · NPI 1629384318

Amie Wallis, CCC-SLP is a Speech-Language Pathologist in Conway, Arkansas. Licensed in Arkansas. Registered with an NPI since 2010.

Licensed in
AR
In the registry since
2010
What do these letters mean?
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

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Practice location Address checks out

2740 College Ave
Conway, AR 72034-6141
Phone: (501) 329-5459
Fax: (501) 327-1738
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence SP#3072 (AR)

Record details

NPI number1629384318
Entity typeIndividual (Type 1)
GenderFemale
Credentials CCC-SLP
Sole proprietorNo
NPI enumeratedAugust 19, 2010
Last updated in NPPESOctober 5, 2011

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