MEDICARE: OLIVIA KATE WALTERS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist

General Provider Information

NPI Number	:	1871423152
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	OLIVIA KATE WALTERS

Provider Business Mailing Address
First Line	:	44 SHIRLEY RD
Second Line	:
City	:	NEWPORT NEWS
State	:	VA
Zip	:	23601-3933
Country	:	US
Telephone Number	:	920-851-8716
Fax Number	:

Provider Business Practice Location Address
First Line	:	457 MCLAWS CIR STE A
Second Line	:
City	:	WILLIAMSBURG
State	:	VA
Zip	:	23185-5892
Country	:	US
Telephone Number	:	757-271-4447
Fax Number	:	847-886-4172

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/20/2026
Last Update Date	:	05/20/2026

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Directions to “ OLIVIA KATE WALTERS ” Practice Location

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