JOHANNA WALLACE (MS CCC-SLP) – Speech-Language Pathologist, NPI 1942406723

JOHANNA WALLACE (MS CCC-SLP) is a healthcare provider. based in Cypress, Texas. specializing in Speech-Language Pathologist. They hold the professional credentials MS CCC-SLP. They hold a License No. SA8966 (FL). The NPI Number for JOHANNA WALLACE (MS CCC-SLP) is 1942406723

Main info

Female
Sole Proprietor
Name
JOHANNA WALLACE (MS CCC-SLP)
NPI
1942406723
Phone
(850) 512-0156
Address
11440 MATZKE RD
Enumeration Date
26 June 2007
Last Update Date
18 August 2024
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness75
Years active:18State licenses:1Digital endpointsOther names

Provider Addresses for JOHANNA WALLACE (MS CCC-SLP)

  • 11440 MATZKE RD

    CYPRESS, TX 774295015

    Phone: (850) 512-0156

    Type: Location

  • 13727 WAVERLY CREST CT STE 200

    CYPRESS, TX 774296831

    Phone: (850) 512-0156

    Type: Mailing

  • 305, Northeast Loop 820 Frontage Road, Hurst, Tarrant County, Texas, 76053, United States

    BUSINESS TOWER 1, SUITE 200

    HURST, TX 760537137

    Phone: (817) 292-8787

    Fax: (817) 789-6849

    Type: Mailing

  • North Sam Houston Parkway West, North Houston District, Houston, Harris County, Texas, 77038, United States

    HOUSTON, TX 770861466

    Phone: (832) 378-6123

    Fax: (832) 253-1181

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 77429)

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Reviews

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Frequently asked questions

Can I verify JOHANNA WALLACE (MS CCC-SLP) with an NPI only?
You can start verification with NPI 1942406723 for JOHANNA WALLACE (MS CCC-SLP), then check state licensing separately.
Can I rely on JOHANNA WALLACE (MS CCC-SLP) being an active provider?
As of the registry snapshot, JOHANNA WALLACE (MS CCC-SLP) is marked active.
What is JOHANNA WALLACE (MS CCC-SLP)'s specialty?
The listing groups JOHANNA WALLACE (MS CCC-SLP) with Speech-Language Pathologist. Clinical services aligned with this taxonomy classification.
Where should I expect JOHANNA WALLACE (MS CCC-SLP) on a map?
Expect Cypress, Texas as a primary anchor for JOHANNA WALLACE (MS CCC-SLP) unless the record lists multiple sites.
Is the information about JOHANNA WALLACE (MS CCC-SLP) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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