National Provider Identifier
Stephanie Wagner
Stephanie Wagner is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Fairport, NY and a listed phone number of (585) 641-0304.
Profile Overview
- NPI
- 1104291574
- Provider Type
- Individual
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- December 09, 2015
- Last Updated
- December 09, 2015
Practice Location
- 1387 Fairport RD
- Fairport, NY 14450-2003
Phone: (585) 641-0304
Specialties
- Speech-Language Pathologist (235Z00000X)
Full Record
- NPI
- 1104291574
- Entity Type
- Individual
- Last Name
- Wagner
- First Name
- Stephanie
- Mailing Street Address
- 1387 Fairport RD
- Mailing City
- Fairport
- Mailing State
- NY
- Mailing ZIP Code
- 14450-2003
- Mailing Country
- US
- Practice Street Address
- 1387 Fairport RD
- Practice City
- Fairport
- Practice State
- NY
- Practice ZIP Code
- 14450-2003
- Practice Country
- US
- Practice Phone
- (585) 641-0304
- Enumeration Date
- December 09, 2015
- Last Updated
- December 09, 2015
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Speech-Language Pathologist (235Z00000X)