Vickie Clark Walsh, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

274916 Issued in CO

Practice address

701 Prairie Hawk Dr
Castle Rock, CO 80109-8001

Phone

(303) 387-5017

NPI assigned

Jan 19, 2024

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

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

{
    "created_epoch": "1705622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705622400000",
    "number": "1619738366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10585 PARKINGTON LN UNIT 25A",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801266754",
            "telephone_number": "303-319-8050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 PRAIRIE HAWK DR",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801098001",
            "telephone_number": "303-387-5017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALSH",
        "first_name": "VICKIE",
        "middle_name": "CLARK",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-19",
        "last_updated": "2024-01-19",
        "certification_date": "2024-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CO",
            "license": "274916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Preston Wallace II, DPT
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• Wanda Slavin, Rnfa
• Helina Wanko
• Brittney Ward, WHNP-BC
• Kendall Warman
• Jessica M Warnell, LCSW

• Speech-Language Pathologist in Castle Rock, CO
• Providers in Castle Rock, CO by specialty
• Speech-Language Pathologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2024; 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.