Individual provider · Type 1 NPI

Heather Waller

Speech-Language Pathologist · St. Augustine, FL

NPI number 1114105855 Active

Practice location

111 Nature Walk Pkwy, Suite 101
St. Augustine, FL 32092-5073

Call (904) 230-7761 Map

Fax (904) 230-7763

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist Primary 235Z00000XSA9324 (FL)

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 1114105855

Heather Waller's National Provider Identifier is 1114105855, issued on Feb 5, 2008. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in St. Augustine, FL. The record was last updated on Feb 5, 2008.