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

Individual provider Speech-Language Pathologist · NPI 1588336788

Taron M Wallace, MS, CCC-SLP is a Qualified Speech Language Pathologist in Ft Worth, Texas. Qualified in 2012, 14 years ago. Practices with Healthpro Heritage Rehab and Fitness LLC, a 990-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
14
Licensed in
TX
In the registry since
2021
What do these letters mean?
MS — Master of Science
A graduate science degree.
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

6251 Stevenson Oaks Dr
Ft Worth, TX 76123-2783
Phone: (800) 381-0822
Fax: (352) 565-5201
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 7500 Oakmont Blvd, Fort Worth, TX 76132-4200 — (817) 346-8080

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 108682 (TX)

Record details

NPI number1588336788
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , CCC-SLP
Sole proprietorNo
NPI enumeratedOctober 5, 2021
Last updated in NPPESApril 23, 2025
Certification dateApril 15, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Healthpro Heritage Rehab And Fitness Llc — 990 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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