LUCILLE TEDESCO WATERS MS,CCC/SLP
NPI 1104096627
Speech-Language Pathologist in Morgantown, WV

Q: What is Lucille Waters's NPI number?

The NPI number for Lucille Waters is 1104096627. It was assigned to this individual provider in the NPPES registry on March 12, 2008.

Q: What is Lucille Waters's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Q: When was this NPI record last updated?

The NPPES record for Lucille Waters was last updated on March 12, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 12, 2008

13 S HIGH ST, MORGANTOWN, WV 26501(304) 624-6554(304) 624-5223 Get Directions Write a Review

NPPES record last updated: March 12, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Lucille Tedesco Waters Ms,ccc/slp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LUCILLE TEDESCO WATERS MS,CCC/SLP (NPI 1104096627) is an individual speech-language pathologist provider in Morgantown, West Virginia and active in the NPI registry since March 2008.

NPPES Registry Identity

NPI1104096627

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameLUCILLE TEDESCO WATERSCredential: MS,CCC/SLP

Location Address13 S HIGH STMorgantown, WV 26501-7546

Mailing Address13 S High StMorgantown, WV 26501-7546 · (304) 624-6554 · Fax (304) 624-5223

Phone(304) 624-6554

Fax(304) 624-5223

Sole ProprietorYes

Enumeration DateMarch 12, 2008

✔ NPI 1104096627 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers

Taxonomy Code235Z00000X

Definition

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

13 S HIGH ST, Morgantown, WV 26501

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Other Identifiers 1

Medicaid0152680000WV

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHLOE ANN WATSON EDS

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