Individual
BREANNA WALLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLPA
Contact information
Practice address
1360 S ANAHEIM BLVD STE 150, ANAHEIM, CA 92805-6258
(714) 776-1231
Mailing address
1360 S ANAHEIM BLVD STE 150, ANAHEIM, CA 92805-6258
(714) 776-1231
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
8474
CA
Other
Enumeration date
04/09/2024
Last updated
04/09/2024
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