Catherine L Wallace, CCC/SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

27865 Issued in CA

Practice address

170 17TH St Ste B
Pacific Grove, CA 93950-7201

Phone

(831) 318-0558

NPI assigned

Jul 5, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Ms. Cayte Williams Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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.

• Teamwork Speech Therapy Inc

  • Clinic/Center
  • Pleasanton, CA
  • NPI 1053711838

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1562284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654560000000",
    "number": "1366004780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 17TH ST STE B",
            "city": "PACIFIC GROVE",
            "state": "CA",
            "postal_code": "939507201",
            "telephone_number": "831-318-0558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 17TH ST STE B",
            "city": "PACIFIC GROVE",
            "state": "CA",
            "postal_code": "939507201",
            "telephone_number": "831-318-0558"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1811 Santa Rita Rd Ste 112",
            "address_purpose": "LOCATION",
            "city": "Pleasanton",
            "state": "CA",
            "postal_code": "945664741",
            "country_code": "US",
            "telephone_number": "925-470-6948",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALLACE",
        "first_name": "CATHERINE",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "CCC/SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-05",
        "last_updated": "2022-06-07",
        "certification_date": "2022-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "D7898365",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "27865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAYTE",
            "last_name": "WILLIAMS",
            "prefix": "MS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Adelina Vandenham, CPHT
• Marissa Vasquez, PH.D.
• Monserrat Vera Rumbo
• Vivo Physical Therapy, Inc.
• Brian Edward Wainwright, MFT INTERN
• Gayle Ann Walsh, D.C.
• West Coast Physical Therapy and Balance Center Inc.
• Sherri Gay White, LMFT
• Christina Whitton, LMFT
• Patricia Skinner Williams, RN, IBCLC

• Speech-Language Pathologist in Pacific Grove, CA
• Providers in Pacific 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 Jun 7, 2022; 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.