Provider Demographics
NPI:1750637617
Name:WASHINGTON WALKER, SHALONDA NICOLE (MA, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:SHALONDA
Middle Name:NICOLE
Last Name:WASHINGTON WALKER
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7158 BLUFF RD
Mailing Address - Street 2:
Mailing Address - City:ALLENDALE
Mailing Address - State:SC
Mailing Address - Zip Code:29810-8100
Mailing Address - Country:US
Mailing Address - Phone:843-226-4671
Mailing Address - Fax:843-781-6978
Practice Address - Street 1:7158 BLUFF RD
Practice Address - Street 2:
Practice Address - City:ALLENDALE
Practice Address - State:SC
Practice Address - Zip Code:29810-8100
Practice Address - Country:US
Practice Address - Phone:843-226-4671
Practice Address - Fax:843-781-6978
Is Sole Proprietor?:No
Enumeration Date:2012-07-30
Last Update Date:2023-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC4510235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist