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

Individual provider Speech-Language Pathologist · NPI 1477162840

Ellen Anne Wallace, CCC-SLP is a Speech-Language Pathologist in Las Vegas, Nevada. Practices as a sole proprietor and works from 2 locations. Registered with an NPI since 2020.

In the registry since
2020
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

3101 W Charleston Blvd
Las Vegas, NV 89102-1931
Phone: (702) 831-6670
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1333 N Buffalo Dr Unit 260, Las Vegas, NV 89128-3637 — (702) 979-4268

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X

Record details

NPI number1477162840
Entity typeIndividual (Type 1)
GenderFemale
Credentials CCC-SLP
Sole proprietorYes
NPI enumeratedJuly 30, 2020
Last updated in NPPESDecember 18, 2023
Certification dateDecember 18, 2023

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