Margarett Kathryn Waller, M.S., CF-SLP
Individual provider Active NPI Speech-Language Pathologist · Fountain City, TN
NPI 1275319824 · NPPES record last updated Sep 14, 2023
Key facts
- NPI
- 1275319824
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 8504 (TN)
- Practice address
- 2929 Tazewell Pike
Fountain City, TN 37918 - Phone
- (865) 328-7370
- NPI assigned
- Sep 7, 2023
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8504 | TN | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 8504 | TN | Yes |
Addresses
Primary practice location
2929 Tazewell Pike
Fountain City, TN 37918
Mailing address
90 Howard Dr
Shelbyville, KY 40065-8138
Other providers in Fountain City, TN
All providers in Fountain City, TN · Speech-Language Pathologist in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 14, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.