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

Individual provider Speech-Language Pathologist · NPI 1306495452

Kaley C Wallace, MS, CCC-SLP is a Speech-Language Pathologist in Knoxville, Tennessee. Licensed in Tennessee. Registered with an NPI since 2019.

Licensed in
TN
In the registry since
2019
Specialties on file
2
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

1601 Sailmaker Way # B109
Knoxville, TN 37920-5467
Phone: (423) 335-1398
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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 6562 (TN)
Speech-Language Pathologist Taxonomy 235Z00000X · Licence 0000006562 (TN)

Record details

NPI number1306495452
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , CCC-SLP
Sole proprietorNo
NPI enumeratedSeptember 10, 2019
Last updated in NPPESJune 16, 2020
Certification dateJune 16, 2020

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