Wallis, Jodie

Wallis, Jodie is an individual health care provider with primary practice located at 1600 Heritage Lndg Ste 201 , Saint Peters MO 63303-8488. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Lactation Consultant, Non-RN, Speech, Language and Hearing Service Providers / Speech-Language Pathologist. Speech, Language and Hearing Service Providers / Speech-Language Pathologist is her primary health care specialty. Wallis, Jodie can be contacted via phone (636) 748-0170.

Contact Information

Primary practice address
1600 Heritage Lndg Ste 201 Saint Peters MO 63303-8488
Phone: (636) 748-0170
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Lactation Consultant, Non-RN 174N00000X L-322721
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X

Profile Details

NPI number 1154934172
LBN Legal business name Wallis, Jodie
Credentials CLC, MS, CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 28th, 2020
Last updated Jul 21st, 2026 - about 4 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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