Madison Wallace
Madison Wallace is a Qualified Speech Language Pathologist in Powell, Ohio. Qualified in 2022, 4 years ago. Practices as a sole proprietor. Licensed in Ohio.
- Years since qualifying
- 4
- Licensed in
- OH
- In the registry since
- 2016
- Specialties on file
- 2
Practice location Address checks out
6977 Scioto Chase BlvdPowell, OH 43065-7976
Phone: (715) 347-2419
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Speech-Language Pathologist (primary) | Taxonomy 235Z00000X · Licence SP.16583 (OH) |
|---|---|
| Community Health Worker | Taxonomy 172V00000X |
Record details
| NPI number | 1972953172 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | June 18, 2016 |
| Last updated in NPPES | August 1, 2025 |
| Certification date | August 1, 2025 |
| Mailing address | 6977 Scioto Chase Blvd, Powell, OH 43065-7976 |
Medicare enrollment
| Medicare specialty | QUALIFIED SPEECH LANGUAGE PATHOLOGIST |
|---|---|
| Medical school | OTHER |
| Graduated | 2022 (4 years in practice) |
| Accepts Medicare assignment | Not indicated |
| Practice locations | 2 on file with Medicare |