HEATHER WALLER NPI 1114105855

NPI Information

  • NPI: 1114105855
  • Provider Name: HEATHER WALLER
  • Classification: Speech-Language Pathologist - 235Z00000X
  • Entity Type: Individual
  • Address: 111 NATURE WALK PKWY
    SUITE 101
    ST AUGUSTINE, FL
    ZIP 32092
  • Phone: (904) 230-7761

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NPI Details

Heather Waller is a speech language pathologist in St Augustine, FL. The provider is the speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. Heather Waller NPI is 1114105855. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

111 NATURE WALK PKWY
SUITE 101
ST AUGUSTINE, FL
ZIP 32092-073
Phone: (904) 230-7761
Fax: (904) 230-7763

The enumeration date for this NPI number is 2/5/2008 and was last updated on 2/5/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1235Z00000XSpeech-Language PathologistSA9324FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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