Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. MICHELLE WALLER, M.A.CCC-A
ActiveMRS. MICHELLE WALLER, M.A.CCC-A is a Audiologist healthcare provider located in BAYSHORE, New York. NPI 1629169800 is currently active in the NPPES registry. Verify at CMS.
Audiologist · BAYSHORE, NY
Registration Details
- NPI Number
- 1629169800
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 27, 2006 (19.874849616785 yrs)
- Last Updated
- Aug 20, 2008
- License
-
002098-1 (NY)
Practice Information
- Address
-
375 EAST MAIN STREET STE. 17BAYSHORE, NY, 11706Browse NY providers · Browse ZIP 11706
- Phone
- 6316656922
- Primary Specialty
-
Audiologist
231H00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.