Individual provider · Type 1 NPI

Samantha Rose Wagner, MA CCC-SLP TSSLD

Speech-Language Pathologist · Long Island City, NY

NPI number 1053185405 Active

Practice location

4829 37th St
Long Island City, NY 11101-1903

Call (646) 621-1320 Map

Mailing address

7850 83rd St
Glendale, NY 11385-7641

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist Primary 235Z00000X033514 (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 1053185405

Samantha Rose Wagner, MA CCC-SLP TSSLD's National Provider Identifier is 1053185405, issued on Nov 7, 2023. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Long Island City, NY. The record was last updated on May 2, 2024.