Angela Marie Watters, M.S., CCC-SLP
NPI 1619239894ActiveIndividual· Speech-Language Pathologist· Edwardsville, IL
Speech-Language Pathologist (M.S., CCC-SLP) in Edwardsville, Illinois, licensed in FL, with an NPI issued in June 2012. Enrolled in Medicare as practitioner - qualified speech language pathologist.
Overview
| NPI | 1619239894 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.S., CCC-SLP |
| Sole proprietor | Yes |
| NPI issued | Jun 13, 2012 |
| Last updated in NPPES | Apr 24, 2023 |
| Certified by provider | Apr 24, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Speech-Language Pathologist Primary | 235Z00000X | SA11936 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Qualified Speech Language Pathologist (IL) |
|---|
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