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

SHANTIA RICHARDSON-WALLER M.S., CCC-SLP
NPI 1366349193
Speech-Language Pathologist in Vallejo, CA

Active since October 23, 2026
118 MAYWOOD DR, VALLEJO, CA 94591(707) 731-3992 Get Directions Write a Review

NPPES record added: October 23, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Shantia Richardson-waller M.s., Ccc-slp NPPES

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

SHANTIA RICHARDSON-WALLER M.S., CCC-SLP (NPI 1366349193) is an individual speech-language pathologist provider in Vallejo, California, licensed in California (25938) and active in the NPI registry since October 2026.

NPPES Registry Identity

NPI1366349193
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameSHANTIA RICHARDSON-WALLERCredential: M.S., CCC-SLP
Location Address118 MAYWOOD DRVallejo, CA 94591-5745
Mailing Address118 Maywood DrVallejo, CA 94591-5745
Sole ProprietorNo
Enumeration DateOctober 23, 2026
NPPES CertifiedOctober 23, 2026
✔ NPI 1366349193 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
License✔ Licensed in CA · 25938
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.
118 MAYWOOD DR, Vallejo, CA 94591

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 Shantia Richardson-waller's NPI number?

The NPI number for Shantia Richardson-waller is 1366349193. It was assigned to this individual provider in the NPPES registry on October 23, 2026.

Where is Shantia Richardson-waller located?

Shantia Richardson-waller practices at 118 Maywood Dr, Vallejo, CA 94591. The listed phone number is (707) 731-3992.

What is Shantia Richardson-waller'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 Shantia Richardson-waller was last updated on October 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.