Heather Waller, - Speech-Language Pathologist in St Augustine, FL

Heather Waller, is a Speech-language Pathologist based in St Augustine, Florida. Heather Waller is licensed to practice in Florida (license number SA9324) and her current practice location is 111 Nature Walk Pkwy, Suite 101, St Augustine, Florida. She can be reached at her office (for appointments etc.) via phone at (904) 230-7761.

NPI number for Heather Waller is 1114105855 and her current mailing address is 111 Nature Walk Pkwy, Suite 101, St Augustine, Florida. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1114105855.

Contact Information

Heather Waller,
111 Nature Walk Pkwy, Suite 101,
St Augustine, FL 32092-5073
(904) 230-7761
(904) 230-7763



Healthcare Provider's Profile

Full NameHeather Waller
GenderFemale
SpecialitySpeech-language Pathologist
Location111 Nature Walk Pkwy, St Augustine, Florida
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1114105855
  • Provider Enumeration Date: 02/05/2008
  • Last Update Date: 02/05/2008

Medical Identifiers

Medical identifiers for Heather Waller such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114105855NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
235Z00000XSpeech-language Pathologist SA9324 (Florida)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Heather Waller is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Heather Waller,
111 Nature Walk Pkwy, Suite 101,
St Augustine, FL 32092-5073

Ph: (904) 230-7761
Heather Waller,
111 Nature Walk Pkwy, Suite 101,
St Augustine, FL 32092-5073

Ph: (904) 230-7761

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› Verified 9 days ago


Speech-Language Pathologist in St Augustine, FL

Kristin Bowman,
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 111 Nature Walk Pkwy, Suite 101, St Augustine, FL 32092
Phone: 904-230-7761    Fax: 904-230-7763
Benjamin Manning,
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 56 Water St, St Augustine, FL 32084
Phone: 727-364-4024    
Pamela P Crawford, SLP
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 542 Sarto Ct, St Augustine, FL 32086
Phone: 904-797-6405    
Dianne Roosen,
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 2 Coleman Dr, St Augustine, FL 32084
Phone: 727-967-1036    
Caitlin Mason, SLP
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 56 Water St, St Augustine, FL 32084
Phone: 727-364-4024    
Rachelle Nicholson Mccranie, M.A. CCC-SLP
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 362 Rosa Ct, St Augustine, FL 32086
Phone: 904-315-4265    
Mrs. Kai Jeanine Long, M.A.
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 190 Southpark Blvd, Suite 100, St Augustine, FL 32086
Phone: 904-824-1478    

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