Individual
ANNA WALLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFY-SLP
Contact information
Practice address
2500 NE 65TH AVE, VANCOUVER, WA 98661-6812
(360) 750-7500
Mailing address
33 SCHMID RD, TROUT LAKE, WA 98650-9717
(509) 637-3038
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
530553G
WA
Other
Enumeration date
08/12/2016
Last updated
08/12/2016
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