Joanne L Wagner in Crossville - Speech-language Pathologist
Joanne L Wagner - NPI 1275688145
Joanne L Wagner is a Speech-language Pathologist in Crossville, Tennessee. Joanne L Wagner practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Joanne L Wagner is 1275688145. The last update date is 2019-03-11.
Joanne L Wagner's current location address is 368 Fourth St, Crossville, Tennessee. You can contact this provider via phone number 9314843301 and fax number 4236221556. The mailing address for Joanne L Wagner is 368 Fourth St, Crossville, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Joanne L Wagner |
|---|---|
| Address | 368 Fourth St, Crossville, Tennessee |
| Phone Number | 9314843301 |
| Fax Number | 4236221556 |
| Sole Proprietor | Y |
| Credentials | SLP-CCC |
NPI Number Detail
| NPI Number | 1275688145 |
|---|---|
| Provider Enumeration Date | 2007-01-24 |
| Last Updated Date | 2019-03-11 |
Provider Mailing Address Detail
| Address | 368 Fourth St |
|---|---|
| City | Crossville |
| State | Tennessee (TN) |
| Post Code | 385554309 |
| Phone Number | 9314843301 |
| Fax Number | 4236221556 |
Provider's Primary Taxonomy Detail
| Speciality | Speech-language Pathologist |
|---|---|
| Taxonomy | 235Z00000X |
| Licence No | 6600 |
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Definition: The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Spe |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 146-000817 | IL | STATE LICENCE | |
| 6600 | TN | STATE TN SLP LICENSE |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Joanne L Wagner by the Centers for Medicare & Medicaid Services?
The Joanne L Wagner has been issued the NPI (National Provider Identifier) 1275688145, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Joanne L Wagner's physical address?
The Joanne L Wagner is physically located at 368 Fourth St, in the city of Crossville, TN, with the postal code 385554309.
What is the Joanne L Wagner's specialty and taxonomy code?
The Joanne L Wagner's specialty is Speech-language Pathologist, and the corresponding taxonomy code is 235Z00000X.
On what date did the Joanne L Wagner receive the assignment of its 1275688145 from the Centers for Medicare & Medicaid Services?
The Joanne L Wagner was issued its 1275688145 by the Centers for Medicare & Medicaid Services on 2007-01-24.
When was the information related to Joanne L Wagner most recently updated or refreshed?
The details pertaining to the Joanne L Wagner, including its address, specialty, and other relevant information, were last updated or refreshed on 2019-03-11.
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