Search › Georgia › Speech-Language Pathologist

Mary Waller, CCC-SLP

NPI 1689188906 · on the registry since 2017 · sole proprietor

Practice

Address: 3354 Greystone Way
Valdosta, GA 31605
Phone: (229) 244-3552
Fax: (229) 244-7030
Organisation at this address: Paris C Shields Llc
Keystone Therapy Services
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 14

Registry record

Primary taxonomy: Speech-Language Pathologist
235Z00000X
Licence states on file: GA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2022-05-25

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 Georgia