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

Individual provider Audiologist · NPI 1447420484

Vicki R Wallace, MS, CCC-A is an Audiologist in Fairmont, West Virginia. Practices as a sole proprietor. Licensed in West Virginia.

Licensed in
WV
In the registry since
2008
What do these letters mean?
MS — Master of Science
A graduate science degree.
CCC-A — Certificate of Clinical Competence in Audiology
An audiologist certified by ASHA.

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Practice location Address checks out

200 Gaston Ave
Fairmont, WV 26554-2739
Phone: (304) 624-6554
Fax: (304) 624-5223
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Audiologist (primary) Taxonomy 231H00000X · Licence A-0039 (WV)

Record details

NPI number1447420484
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , CCC-A
Sole proprietorYes
NPI enumeratedMarch 5, 2008
Last updated in NPPESMarch 5, 2008

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