Individual provider · Type 1 NPI
Jonathan M. Waller, MA CCC-SLP
Speech-Language Pathologist · Los Angeles, CA
Practice location
1100 N State St, Ct A2E
Los Angeles, CA 90033-5000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 17522 (CA) |
| Speech-Language Pathologist Primary | 235Z00000X | SLP010930 (GA) |
Speech-Language Pathologist: The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonan…
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About NPI 1104351964
Jonathan M. Waller, MA CCC-SLP's National Provider Identifier is 1104351964, issued on Apr 28, 2017. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Los Angeles, CA. The record was last updated on Aug 3, 2020.