MEDICARE: STEADY STREAM SPEECH & LANGUAGE, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist

General Provider Information

NPI Number	:	1558218180
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STEADY STREAM SPEECH & LANGUAGE, PLLC

Provider Business Mailing Address
First Line	:	12924 W 64TH DR APT A
Second Line	:
City	:	ARVADA
State	:	CO
Zip	:	80004-6024
Country	:	US
Telephone Number	:	517-316-5042
Fax Number	:

Provider Business Practice Location Address
First Line	:	12924 W 64TH DR APT A
Second Line	:
City	:	ARVADA
State	:	CO
Zip	:	80004-6024
Country	:	US
Telephone Number	:	517-316-5042
Fax Number	:

Authorized Official
Title or Position	:	OWNER/SPEECH LANGUAGE PATHOLOGIST
Name	:	AMANDA WALLACE
Credential	:
Telephone Number	:	517-316-5042

Provider Enumeration Date	:	03/12/2026
Last Update Date	:	03/12/2026

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Directions to “STEADY STREAM SPEECH & LANGUAGE, PLLC ” Practice Location

Language	Start Address	Practice Location

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