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Jonathan M Waller, MACCC-SLP
Speech-Language Pathologist in Los Angeles, California
NPI 1104351964

Jonathan M Waller is a Speech-Language Pathologist based in Los Angeles, CA. Jonathan M Waller practices in Los Angeles, CA and has the professional credentials of MACCC-SLP. The NPI Number for Jonathan M Waller is 1104351964 and holds a License No. 17522 (California).

The current practice location address for Jonathan M Waller is 1100 N State St, Los Angeles, CA and can be reached out via phone at 323-409-5082.

Location: 1100 N State St, Los Angeles, CA, 90033-5000
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104351964
Provider Name
Jonathan M Waller
Credential
MACCC-SLP
Provider Entity Type
Individual
Gender
Male
Address
1100 N State St, Los Angeles, CA, 90033-5000
Phone Number
323-409-5082
Fax Number
Provider Enumeration Date
04/28/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1100 N State St
City
Los Angeles
State
California
Zip
90033-5000
Phone Number
323-409-5082
Fax Number
person
Provider Business Mailing Address Details
Address
1100 N State St
City
Los Angeles
State
California
Zip
90033-5000
Phone Number
323-409-5082
Fax Number
person
Provider's Taxonomy Details 1
Type
Speech, Language and Hearing Service Providers
Classification
Speech-Language Pathologist
Speciality
-
Taxonomy
235Z00000X
License No.
17522 (California)
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
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