Provider Demographics
NPI:1144016874
Name:WAITT, ANGELIA (MS, CCC-SLP)
Entity type:Individual
Prefix:
First Name:ANGELIA
Middle Name:
Last Name:WAITT
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:ANGIE
Other - Middle Name:
Other - Last Name:WAITT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MS, CCC-SLP
Mailing Address - Street 1:2715 PERCUSSION DR
Mailing Address - Street 2:
Mailing Address - City:HILLSBOROUGH
Mailing Address - State:NC
Mailing Address - Zip Code:27278-8498
Mailing Address - Country:US
Mailing Address - Phone:919-452-8860
Mailing Address - Fax:
Practice Address - Street 1:2715 PERCUSSION DR
Practice Address - Street 2:
Practice Address - City:HILLSBOROUGH
Practice Address - State:NC
Practice Address - Zip Code:27278-8498
Practice Address - Country:US
Practice Address - Phone:919-452-8860
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-18
Last Update Date:2025-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC11301235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist