Sharon Waller
Individual provider Active NPI Speech-Language Pathologist · Aromas, CA
NPI 1508516220 · NPPES record last updated Mar 25, 2022
Key facts
- NPI
- 1508516220
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 7162 (CA)
- Practice address
- 471 Rose Avenue
Aromas, CA 95004-9500 - Phone
- (831) 235-0484
- NPI assigned
- Mar 25, 2022
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 7162 | CA | Yes |
Addresses
Primary practice location
471 Rose Avenue
Aromas, CA 95004-9500
Mailing address
PO Box 831
Aromas, CA 95004-0831
Phone (831) 235-0484
Other providers in Aromas, CA
All providers in Aromas, CA · Speech-Language Pathologist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 25, 2022. 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.