Maysie Malloy Walker, MA SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

COND.20201426-SP Issued in OH

Practice address

7537 Mentor Ave Ste 303
Mentor, OH 44060-5463

Phone

(440) 567-7166

NPI assigned

Jan 6, 2022

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lake County Pediatric Speech & Language Therapy, LLC

  • Speech-Language Pathologist
  • Mentor, OH
  • NPI 1750973806
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1641427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641427200000",
    "number": "1851052211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38619 NINADELL AVE",
            "city": "WILLOUGHBY",
            "state": "OH",
            "postal_code": "440947146",
            "telephone_number": "440-622-1313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7537 MENTOR AVE STE 303",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440605463",
            "telephone_number": "440-567-7166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "MAYSIE",
        "middle_name": "MALLOY",
        "credential": "MA SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-06",
        "last_updated": "2022-01-06",
        "certification_date": "2022-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "COND.20201426-SP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney P Walker
• Heather Walker, A-GNP-C
• Jamie Walker, RDN,LD
• Lara Lynn Walker, RN
• Martina Walker
• Aaron Wallace
• Marisa Wallace, LPC
• Rachel Wallace, RN
• Douglas Waltman, PH.D.
• Peijian Wang

• Speech-Language Pathologist in Mentor, OH
• Providers in Mentor, OH by specialty
• Speech-Language Pathologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.