Individual provider · Type 1 NPI
Madison Wagoner
Speech-Language Assistant · Scottsdale, AZ
NPI number
1184336349
Active
Practice location
16356 N Thompson Peak Pkwy Apt 1077
Scottsdale, AZ 85260-2103
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Assistant Primary | 2355S0801X | SLPA14239 (AZ) |
Speech-Language Assistant: Definition to come...
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About NPI 1184336349
Madison Wagoner's National Provider Identifier is 1184336349, issued on Dec 20, 2022. The primary taxonomy on file is Speech-Language Assistant (2355S0801X), and the practice location is in Scottsdale, AZ. The record was last updated on Dec 20, 2022.