Wallace Speech Therapy

Primary specialty

Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X

Legal business name

WALLACE SPEECH THERAPY

Practice address

460 Briarcroft LN
Killeen, TX 76542-5606

Phone

(254) 371-5479

NPI assigned

May 19, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Patty Nesom Wallace, CCC-SLPNPI 1164854253

Title

Owner

Phone

(254) 371-5479

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Patty Wallace

  • Speech-Language Pathologist
  • Harker Heights, TX
  • NPI 1164854253
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1747612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747612800000",
    "number": "1255123022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 BRIARCROFT LN",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765425606",
            "telephone_number": "254-371-5479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 BRIARCROFT LN",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765425606",
            "telephone_number": "254-371-5479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALLACE SPEECH THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-19",
        "last_updated": "2025-05-19",
        "certification_date": "2025-05-19",
        "status": "A",
        "authorized_official_last_name": "WALLACE",
        "authorized_official_first_name": "PATTY",
        "authorized_official_middle_name": "NESOM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "254-371-5479",
        "authorized_official_credential": "CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1164854253",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Casey Walker, CRNA
• Kenneth Emery Walker, LPC
• Kenyetta Lafrancis Walker, LPC, LCDC
• Kyesha Walker
• Chazia Wall-Miles, LPC
• James Wallace, HIS
• Nicole Broadway Wallace, LPCC
• Cynthia Waller, ED.S, CCC-SLP
• Cheyenne Walling
• Mark Edward Walls Jr., LCDC

• Hearing and Speech Clinic/Center in Killeen, TX
• Providers in Killeen, TX by specialty
• Hearing and Speech Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.