Individual provider · Type 1 NPI

Kathrine Ann Wagner Van Gammeren, SLP

Speech-Language Pathologist · Lackawanna, NY

NPI number 1043128069 Active

Practice location

650 Ridge Rd
Lackawanna, NY 14218-1435

Call (716) 828-9500 Map

Mailing address

3684 Heatherwood Dr
Hamburg, NY 14075-2242

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist Primary 235Z00000X031638 (NY)

Speech-Language Pathologist: 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. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonan…

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About NPI 1043128069

Kathrine Ann Wagner Van Gammeren, SLP's National Provider Identifier is 1043128069, issued on Aug 31, 2026. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Lackawanna, NY. The record was last updated on Aug 31, 2026.