JODIE WALLIS CLC, MS, CCC-SLP
NPI 1154934172
Speech-Language Pathologist in Saint Peters, MO

Active since August 28, 2020
1600 HERITAGE LNDG STE 201, SAINT PETERS, MO 63303(636) 748-0170 Get Directions Write a Review

NPPES record last updated: February 18, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 12, 2023, Mar 23, 2023, Jan 12, 2022 and 1 more (4 updates tracked since 2020).

About Jodie Wallis Clc, Ms, Ccc-slp NPPES

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

JODIE WALLIS CLC, MS, CCC-SLP (NPI 1154934172) is an individual speech-language pathologist provider in Saint Peters, Missouri and active in the NPI registry since August 2020.

NPPES Registry Identity

NPI1154934172
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameJODIE WALLISCredential: CLC, MS, CCC-SLP
Location Address1600 HERITAGE LNDG STE 201Saint Peters, MO 63303-8488
Mailing Address1600 Heritage Lndg Ste 201Saint Peters, MO 63303-8488 · (636) 748-0170
Sole ProprietorNo
Enumeration DateAugust 28, 2020
Last NPPES UpdateFebruary 18, 20244 updates tracked since enumeration
NPPES CertifiedFebruary 18, 2024
NPI 1154934172 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.

1600 HERITAGE LNDG STE 201, Saint Peters, MO 63303

Other Providers at the Same Location NPPES 2

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

Counselor
1600 HERITAGE LNDG STE 201
SAINT PETERS, MO 63303
Speech-Language Pathologist
1600 HERITAGE LNDG STE 201
SAINT PETERS, MO 63303

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1154934172, enumerated as an "individual" on August 28, 2020.

The provider is located at 1600 HERITAGE LNDG STE 201 SAINT PETERS, MO 63303 and the phone number is (636) 748-0170.

Speech-Language Pathologist with taxonomy code 235Z00000X.