Heather Waller
NPI #1114105855 in St Augustine, Florida
Provider Information
- NPI Number
- 1114105855
- Entity Type
- Individual
- Name
- Heather Waller
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- Feb 5, 2008
- Last Updated
- Feb 5, 2008
Practice Location
- Address
- 111 NATURE WALK PKWY
- Address 2
- SUITE 101
- City
- St Augustine
- State
- Florida
- ZIP Code
- 32092-5073
- Phone
- (904) 230-7761
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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