Phoebe Waller, M.S., CCC-SLP
NPI #1386077212 in St Petersburg, Florida
Provider Information
- NPI Number
- 1386077212
- Entity Type
- Individual
- Name
- Phoebe Waller, M.S., CCC-SLP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Speech-Language Pathologist
- Credential
- M.S., CCC-SLP
- Enumeration Date
- Aug 14, 2013
- Last Updated
- Aug 14, 2013
Practice Location
- Address
- 6233 BURLINGTON AVE N
- City
- St Petersburg
- State
- Florida
- ZIP Code
- 33710-8429
- Phone
- (727) 480-9632
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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