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

Individual provider Speech-Language Pathologist · NPI 1013693019

Kathryn Paige Wallace, CCC-SLP is a Speech-Language Pathologist in Raleigh, North Carolina. Licensed in North Carolina. Registered with an NPI since 2023.

Licensed in
NC
In the registry since
2023
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

8390 Six Forks Rd Ste 104
Raleigh, NC 27615-3060
Phone: (919) 247-4551
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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 30002017 (NC)

Record details

NPI number1013693019
Entity typeIndividual (Type 1)
GenderFemale
Credentials CCC-SLP
Sole proprietorNo
NPI enumeratedJune 23, 2023
Last updated in NPPESJune 23, 2023
Certification dateJune 23, 2023

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