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

Individual provider Speech-Language Pathologist · NPI 1417186172

Mrs. Holly Wallace, MED, CCC-SLP is a Speech-Language Pathologist in Virginia Beach, Virginia. Practices as a sole proprietor. Licensed in Virginia.

Licensed in
VA
In the registry since
2009
What do these letters mean?
MED — Master of Education
A graduate education degree, written M.Ed.
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

4560 Princess Anne Rd
Virginia Beach, VA 23462-7905
Phone: (757) 474-1289
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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 2202003129 (VA)

Record details

NPI number1417186172
Entity typeIndividual (Type 1)
GenderFemale
Credentials MED , CCC-SLP
Sole proprietorYes
NPI enumeratedJuly 2, 2009
Last updated in NPPESJuly 2, 2009

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