Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Mary Ann Waller, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1689188906

Mrs. Mary Ann Waller, CCC-SLP is a Speech-Language Pathologist in Valdosta, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2017
What do these letters mean?
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

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Practice location Address checks out

3354 Greystone Way
Valdosta, GA 31605-1096
Phone: (229) 244-3552
Fax: (229) 244-7030
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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 SLP009908 (GA)

Record details

NPI number1689188906
Entity typeIndividual (Type 1)
GenderFemale
Credentials CCC-SLP
Sole proprietorYes
NPI enumeratedNovember 22, 2017
Last updated in NPPESMay 25, 2022
Certification dateMay 25, 2022

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