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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

MAHOLLA FULLER MA, CCC-SLP
NPI 1306758040
Speech-Language Pathologist in Watervliet, MI

Active since September 18, 2026
433 LUCINDA LN, WATERVLIET, MI 49098(269) 463-0860 Get Directions Write a Review

NPPES record added: September 18, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

About Maholla Fuller Ma, Ccc-slp NPPES

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

MAHOLLA FULLER MA, CCC-SLP (NPI 1306758040) is an individual speech-language pathologist provider in Watervliet, Michigan and active in the NPI registry since September 2026. She maintains a secondary practice location in Watervliet.

NPPES Registry Identity

NPI1306758040
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameMAHOLLA FULLERCredential: MA, CCC-SLP
Location Address433 LUCINDA LNWatervliet, MI 49098-9367
Mailing Address7151 M 140 HwyCovert, MI 49043-9400
Phone(269) 463-0860
Sole ProprietorYes
Enumeration DateSeptember 18, 2026
NPPES CertifiedSeptember 18, 2026
✔ NPI 1306758040 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.
433 LUCINDA LN, Watervliet, MI 49098
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Secondary Practice Location 1

Location 1287 W Baldwin AveWatervliet, MI 49098-8913 · Phone (269) 463-0820

Other Providers at the Same Location NPPES

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

MRS. TAMEKA ANDERSON TYSON
Speech-Language Pathologist
433 LUCINDA LN
WATERVLIET, MI 49098
Berrien County (269) 463-0860

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Maholla Fuller's NPI number?

The NPI number for Maholla Fuller is 1306758040. It was assigned to this individual provider in the NPPES registry on September 18, 2026.

Where is Maholla Fuller located?

Maholla Fuller practices at 433 Lucinda Ln, Watervliet, MI 49098. The listed phone number is (269) 463-0860.

What is Maholla Fuller's specialty?

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

When was this NPI record last updated?

The NPPES record for Maholla Fuller was last updated on September 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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.