Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Julie Bourne Wallace, MA, CCC/SLP

Individual provider Speech-Language Pathologist · NPI 1417056524

Julie Bourne Wallace, MA, CCC/SLP is a Speech-Language Pathologist in Lexington, Kentucky. Licensed in Kentucky. Registered with an NPI since 2006.

Licensed in
KY
In the registry since
2006
What do these letters mean?
MA — Master of Arts
A graduate arts degree.

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Practice location Address checks out

2620 Wilhite Dr Ste 222
Lexington, KY 40503-3385
Phone: (859) 277-1949
Fax: (859) 278-7048
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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 2768 (KY)

Record details

NPI number1417056524
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA , CCC/SLP
Sole proprietorNo
NPI enumeratedSeptember 22, 2006
Last updated in NPPESJuly 8, 2007

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