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Search › California › Speech-Language Pathologist

Jonathan Waller, MA CCC-SLP

NPI 1104351964 · on the registry since 2017 · sole proprietor

Practice

Address
1100 N State St
Ct A2e
Los Angeles, CA 90033
Phone
(323) 409-5082
Organisation at this address
County Of Los Angeles
Lac-Usc Medical Center
Usc Care Medical Group, Inc.
Los Angeles County University Of Southern California Medical Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address
162

Registry record

Primary taxonomy
Speech-Language Pathologist
235Z00000X
Also registered as
Speech-Language Pathologist
Licence states on file
CA, GA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-08-03

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California