Shantel Walters, M.S., CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Liberty, MS
NPI 1437855285 · NPPES record last updated Feb 3, 2023
Key facts
- NPI
- 1437855285
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- Practice address
- 6196B Ms Highway 567
Liberty, MS 39645-5283 - Phone
- (601) 597-4992
- NPI assigned
- Feb 3, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walters Collaborative, LLC | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Yes |
Addresses
Primary practice location
6196B Ms Highway 567
Liberty, MS 39645-5283
Mailing address
6196B Ms Highway 567
Liberty, MS 39645-5283
Phone (601) 597-4992
Other providers in Liberty, MS
- Smiles to Go, LLC
- Megan Smith
- Southwest Mississippi Emergency Physicians, LTD
- Amy Anthony Spinks
- Cassycel Thigpen
- Weathers Chiropractic Center PLLC
- Bradford Kimball Weathers
- James L Westbrook
All providers in Liberty, MS · Speech-Language Pathologist in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 3, 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.