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

Individual provider Speech-Language Pathologist · NPI 1427440387

Colleen Bridget Wallace, MS, CCC-SLP is a Speech-Language Pathologist in Anchorage, Alaska. Practices as a sole proprietor. Licensed in Alaska.

Licensed in
AK
In the registry since
2015
What do these letters mean?
MS — Master of Science
A graduate science degree.
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

4050 Lake Otis Pkwy Ste 201
Anchorage, AK 99508-5223
Phone: (505) 489-7764
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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 489 (AK)

Record details

NPI number1427440387
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , CCC-SLP
Sole proprietorYes
NPI enumeratedMarch 2, 2015
Last updated in NPPESApril 6, 2022
Certification dateApril 6, 2022

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