Individual provider · Type 1 NPI
Emily Grace Wagner, DT-C
Developmental Therapist · Reston, VA
Practice location
11720 Plaza America Dr Fl 9
Reston, VA 20190-4757
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Assistant | 2355S0801X | 29001978A (IN) |
| Developmental Therapist Primary | 222Q00000X | NA |
Developmental Therapist: A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Deve…
Another provider at this address
About NPI 1194206243
Emily Grace Wagner, DT-C's National Provider Identifier is 1194206243, issued on Aug 27, 2018. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Reston, VA. The record was last updated on Jul 31, 2023.