Individual provider · Type 1 NPI

Shantia Richardson-Waller, M.S., CCC-SLP

Speech-Language Pathologist · Vallejo, CA

NPI number 1366349193 Active

Practice location

118 Maywood Dr
Vallejo, CA 94591-5745

Call (707) 731-3992 Map

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist Primary 235Z00000X25938 (CA)

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 1366349193

Shantia Richardson-Waller, M.S., CCC-SLP's National Provider Identifier is 1366349193, issued on Oct 23, 2026. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Vallejo, CA. The record was last updated on Oct 23, 2026.