Olivia Wallace

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

RPE20746 Issued in CA

Practice address

12062 Valley View St Ste 137
Garden Grove, CA 92845-1741

Phone

(714) 901-1518

NPI assigned

Aug 2, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Love 2 Learn Consulting LLC

  • Developmental Disabilities Clinic/Center
  • Huntington Beach, CA
  • NPI 1861729238

  Behavior Technician

  NPD (past)
• Love 2 Learn Therapies Inc

  • Speech-Language Pathologist
  • Huntington Beach, CA
  • NPI 1821430182
  NPD (past)

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

{
    "created_epoch": "1564704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758758400000",
    "number": "1285289702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12062 VALLEY VIEW ST STE 137",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928451741",
            "telephone_number": "714-901-1518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12062 VALLEY VIEW ST STE 137",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928451741",
            "telephone_number": "714-901-1518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLACE",
        "first_name": "OLIVIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-02",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "RPE20746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madison Christine Walker
• Michelle Walker, RN
• Sarah Walker
• Ishmiel Wallace
• Leila Pauline Wallace
• David Waller, CPSS, CPR, FIRST AID
• Tayelor Shawn Wallin
• David Preston Walling, PH.D.
• Walmart Inc.
• Walmart Pharmacy

• Speech-Language Pathologist in Garden Grove, CA
• Providers in Garden Grove, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 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.