Sarah Elizabeth Wallace, PH.D., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SL009721 Issued in PA

Practice address

711 Forbes Avenue
406 Fisher Hall
Pittsburgh, PA 15282

Phone

(412) 396-4200

Fax

(412) 396-1388

NPI assigned

Apr 29, 2010

Last updated

Apr 29, 2010By the provider in NPPES

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1272499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272499200000",
    "number": "1760709745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 FORBES AVENUE",
            "address_2": "403 FISHER HALL",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152822240",
            "telephone_number": "412-396-4200",
            "fax_number": "412-396-1388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 FORBES AVENUE",
            "address_2": "406 FISHER HALL",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "15282",
            "telephone_number": "412-396-4200",
            "fax_number": "412-396-1388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLACE",
        "first_name": "SARAH",
        "middle_name": "ELIZABETH",
        "credential": "PH.D., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-29",
        "last_updated": "2010-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL009721",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "698540",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "698542",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauren Briggs Wallace
• Luisa Paula Wallace, MD
• Michael Lloyd Wallace, MD
• Patrick J Wallace, PA-C
• Samantha Wallace, CRNP
• Sean Rhys Wallace, MD
• Rebecca Wallen
• Janelle Doris Waller
• Christine C Wallisch
• Joan Maria Wallisch, D.M.D.

• Speech-Language Pathologist in Pittsburgh, PA
• Providers in Pittsburgh, PA by specialty
• Speech-Language Pathologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2010; 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.