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

Individual provider Speech-Language Pathologist · NPI 1720755283

Robin Sue Wallace, SLP is a Speech-Language Pathologist in Licking, Missouri. Practices as a sole proprietor. Licensed in Missouri.

Licensed in
MO
In the registry since
2021
What do these letters mean?
SLP — Speech-Language Pathologist
Treats speech, language and swallowing disorders.

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Practice location Address checks out

17674 W Highway 32
Licking, MO 65542-9018
Phone: (573) 201-8534
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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 2021034135 (MO)

Record details

NPI number1720755283
Entity typeIndividual (Type 1)
GenderFemale
Credentials SLP
Sole proprietorYes
NPI enumeratedAugust 24, 2021
Last updated in NPPESAugust 24, 2021
Certification dateAugust 24, 2021
Mailing address17674 W Highway 32, Licking, MO 65542-9018

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