Individual provider · Type 1 NPI

Jodie Wallis, CLC, MS, CCC-SLP

Speech-Language Pathologist · St. Peters, MO

NPI number 1154934172 Active

Practice location

1600 Heritage Lndg Ste 201
St. Peters, MO 63303-8488

Specialties and licenses

Taxonomy	Code	License
Lactation Consultant (Non-RN)	174N00000X	L-322721
Speech-Language Pathologist Primary	235Z00000X	None listed

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 1154934172

Jodie Wallis, CLC, MS, CCC-SLP's National Provider Identifier is 1154934172, issued on Aug 28, 2020. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in St. Peters, MO. The record was last updated on Jul 21, 2026.