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

David Wallace, MSCCC-SLP

Individual provider Speech-Language Pathologist · NPI 1174015499

David Wallace, MSCCC-SLP is a Qualified Speech Language Pathologist in Sacramento, California. Qualified in 2020, 6 years ago. Works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
6
Licensed in
CA
In the registry since
2018
Specialties on file
2
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Practice location Address checks out

4850 Natomas Blvd Apt 127M
Sacramento, CA 95835-1266
Phone: (209) 479-9966
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 11840 S La Cienega Blvd, Hawthorne, CA 90250-3459 — (242) 269-3400

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 32521 (CA)
Speech-Language Assistant Taxonomy 2355S0801X · Licence 3499 (CA)

Record details

NPI number1174015499
Entity typeIndividual (Type 1)
GenderMale
Credentials MSCCC-SLP
Sole proprietorNo
NPI enumeratedJune 1, 2018
Last updated in NPPESAugust 30, 2023
Certification dateAugust 30, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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