Doctor Name: | LANNA WALTERS |
NPI Number: | 1811093875 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 3029 |
Business Practice Address: | 6444 Monroe St Suite B Sylvania, OH - 435601454 |
Business Phone Number: | 4198243434 |
Business Fax Number: | 4198243435 |
Mailing Address: | 28025 Center St, MILLBURY |
State: | OH |
Postal Code: | 434479472 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 09/16/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 3029 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |