Individual provider · Type 1 NPI

Maholla Fuller, MA, CCC-SLP

Speech-Language Pathologist · Watervliet, MI

NPI number 1306758040 Active

Practice location

433 Lucinda Ln
Watervliet, MI 49098-9367

Mailing address

7151 M 140 Hwy
Covert, MI 49043-9400

Other practice locations

  • 287 W Baldwin Ave, Watervliet, MI 49098-8913 · (269) 463-0820

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist Primary 235Z00000XNone 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 1306758040

Maholla Fuller, MA, CCC-SLP's National Provider Identifier is 1306758040, issued on Sep 18, 2026. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Watervliet, MI. The record was last updated on Sep 18, 2026.