Jodie Wallis, CLC, MS, CCC-SLP
NPI #1154934172 in Saint Peters, Missouri
Provider Information
- NPI Number
- 1154934172
- Entity Type
- Individual
- Name
- Jodie Wallis, CLC, MS, CCC-SLP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Speech-Language Pathologist
- Credential
- CLC, MS, CCC-SLP
- Enumeration Date
- Aug 28, 2020
- Last Updated
- Feb 18, 2024
Practice Location
- Address
- 1600 HERITAGE LNDG STE 201
- City
- Saint Peters
- State
- Missouri
- ZIP Code
- 63303-8488
- Phone
- (636) 748-0170
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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