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

Individual provider Speech-Language Pathologist · NPI 1225142839

Kimberly D Wallace, SLP is a Speech-Language Pathologist in Collinsville, Illinois. Licensed in Illinois. Registered with an NPI since 2006.

Licensed in
IL
In the registry since
2006
What do these letters mean?
SLP — Speech-Language Pathologist
Treats speech, language and swallowing disorders.

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Practice location Address checks out

1 Valley View Dr
Collinsville, IL 62234-6805
Phone: (618) 779-8255
Fax: (618) 288-5494
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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 (IL)

Record details

NPI number1225142839
Entity typeIndividual (Type 1)
GenderFemale
Credentials SLP
Sole proprietorNo
NPI enumeratedAugust 19, 2006
Last updated in NPPESJuly 8, 2007
Mailing address1 Valley View Dr, Collinsville, IL 62234-6805

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