Individual
HEATHER WALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2508 27TH ST, PO BX 947, COLUMBUS, NE 68601-0947
(402) 563-7000
(402) 563-7025
Mailing address
2508 27TH ST # 947, COLUMBUS, NE 68601-2541
(402) 563-7000
(402) 563-7025
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
696
NE
Other
Enumeration date
09/07/2016
Last updated
09/07/2016
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