Mary Louise Wallace, MA, CCC-SLP - Speech-Language Pathologist in Boulder, CO

Mary Louise Wallace, MA, CCC-SLP is a Speech-language Pathologist based in Boulder, Colorado. Mary Louise Wallace is licensed to practice in Colorado (license number 00198044) and her current practice location is 6672 Gunpark Dr, Suite 101 C, Boulder, Colorado. She can be reached at her office (for appointments etc.) via phone at (303) 530-9191.

NPI number for Mary Louise Wallace is 1114020369 and her current mailing address is 6672 Gunpark Dr, Suite 101 C, Boulder, Colorado. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1114020369.

Contact Information

Mary Louise Wallace, MA, CCC-SLP
6672 Gunpark Dr, Suite 101 C,
Boulder, CO 80301-3387
(303) 530-9191
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMary Louise Wallace
GenderFemale
SpecialitySpeech-language Pathologist
Location6672 Gunpark Dr, Boulder, Colorado
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1114020369
  • Provider Enumeration Date: 09/06/2006
  • Last Update Date: 07/09/2007

Medical Identifiers

Medical identifiers for Mary Louise Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114020369NPI-NPPES
07198047MedicaidCO

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
235Z00000XSpeech-language Pathologist 00198044 (Colorado)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mary Louise Wallace is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mary Louise Wallace, MA, CCC-SLP
6672 Gunpark Dr, Suite 101 C,
Boulder, CO 80301-3387

Ph: (303) 530-9191
Mary Louise Wallace, MA, CCC-SLP
6672 Gunpark Dr, Suite 101 C,
Boulder, CO 80301-3387

Ph: (303) 530-9191

Reviews and Comments


Speech-Language Pathologist in Boulder, CO

Catharine Jean Lauderbaugh, M.A., CCC-SLP
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 2060 Floral Dr, Boulder, CO 80304
Phone: 650-387-3679    
Alison Maasdorf,
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 6500 Arapahoe Rd, Boulder, CO 80303
Phone: 720-561-6561    
Mrs. Andrea Lorene Mann, M.A. CCC
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 27 Pine Needle Rd, Boulder, CO 80304
Phone: 303-449-0880    Fax: 303-938-8045
Chris Morton Rowinski,
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 5520 N Fork Ct, Boulder, CO 80301
Phone: 303-817-5055    
Dr. Rosemary J Mcknight, MBCHB, MA, CCC-SLP
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 6500 Arapahoe Rd, Boulder, CO 80303
Phone: 303-447-1010    
Maria Madjar, CCC-SLP
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 6500 Arapahoe Rd, Boulder, CO 80303
Phone: 303-447-1010    
Shani O'brien,
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 6500 Arapahoe Rd, Boulder, CO 80303
Phone: 303-447-1010    

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