Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jodie Wallis, CLC, MS, CCC-SLP

Individual provider Lactation Consultant (Non-RN) · NPI 1154934172

Jodie Wallis, CLC, MS, CCC-SLP is a Lactation Consultant (Non-RN) in Saint Peters, Missouri. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
2
What do these letters mean?
MS — Master of Science
A graduate science degree.
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1600 Heritage Lndg Ste 201
Saint Peters, MO 63303-8488
Phone: (636) 748-0170
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X
Lactation Consultant (Non-RN) Taxonomy 174N00000X · Licence L-322721

Record details

NPI number1154934172
Entity typeIndividual (Type 1)
GenderFemale
Credentials CLC , MS , CCC-SLP
Sole proprietorNo
NPI enumeratedAugust 28, 2020
Last updated in NPPESJuly 21, 2026
Certification dateJuly 21, 2026