Waller, Heather

Waller, Heather is an sole proprietor health care provider with primary practice located at 111 Nature Walk Pkwy Suite 101, St Augustine FL 32092-5073. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Waller, Heather can be contacted via phone (904) 230-7761.

Contact Information

Primary practice address
111 Nature Walk Pkwy Suite 101 St Augustine FL 32092-5073
Phone: (904) 230-7761
Fax: (904) 230-7763
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SA9324 Florida

Profile Details

NPI number 1114105855
LBN Legal business name Waller, Heather
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 5th, 2008
Last updated Feb 5th, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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