Individual
CYNTHIA WALLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ED.S, CCC-SLP
Contact information
Practice address
4205 OLD FLORENCE ROAD, KILLEEN, TX 76542
(254) 383-0706
Mailing address
5309 BUCKAROO PL, KILLEEN, TX 76542-4074
(404) 695-8189
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
114233
TX
Other
Enumeration date
04/11/2018
Last updated
04/11/2018
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