Heather Waller
Heather Waller is a Speech-Language Pathologist in St Augustine, Florida. Practices as a sole proprietor. Licensed in Florida.
- Licensed in
- FL
- In the registry since
- 2008
Practice location Address checks out
111 Nature Walk Pkwy Ste 101St Augustine, FL 32092-5073
Phone: (904) 230-7761
Fax: (904) 230-7763
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Speech-Language Pathologist (primary) | Taxonomy 235Z00000X · Licence SA9324 (FL) |
|---|
Record details
| NPI number | 1114105855 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | February 5, 2008 |
| Last updated in NPPES | February 5, 2008 |
| Mailing address | 111 Nature Walk Pkwy, Suite 101, St Augustine, FL 32092-5073 |
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