JONATHAN WALLER, MA CCC-SLP

Speech-Language Pathologist

Active Individual
NPI: 1104351964

Practice Address

1100 N STATE ST
CT A2E
Los Angeles, CA 90033

Phone: (323) 409-5082

Specialties

Specialty Code Primary License
Speech-Language Pathologist 235Z00000X Yes SLP010930 (GA)

Frequently Asked Questions

NPI 1104351964 is the National Provider Identifier for JONATHAN WALLER, MA CCC-SLP, a Speech-Language Pathologist provider located in Los Angeles, CA. This NPI was enumerated on April 28, 2017.
JONATHAN WALLER, MA CCC-SLP practices at 1100 N STATE ST, CT A2E, Los Angeles, CA 90033.

Quick Facts

NPI
1104351964
Type
Individual
Enumerated
Apr 28, 2017
Last Updated
Aug 3, 2020

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