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

Individual provider Speech-Language Pathologist · NPI 1801635065

Ellie N Wallace, MS, SLP is a Speech-Language Pathologist in Charleston, Illinois. Licensed in Illinois. Registered with an NPI since 2024.

Licensed in
IL
In the registry since
2024
What do these letters mean?
MS — Master of Science
A graduate science degree.
SLP — Speech-Language Pathologist
Treats speech, language and swallowing disorders.

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Practice location Address checks out

801 Jefferson Ave
Charleston, IL 61920-1527
Phone: (217) 639-7000
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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 242.007619 (IL)

Record details

NPI number1801635065
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , SLP
Sole proprietorNo
NPI enumeratedMay 20, 2024
Last updated in NPPESMay 20, 2024
Certification dateMay 20, 2024

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