Individual provider · Type 1 NPI

Krista Waggoner, CCC-SLP

Speech-Language Pathologist · Palm Coast, FL

NPI number 1346760170 Active

Practice location

4875 Palm Coast Pkwy NW Unit 2
Palm Coast, FL 32137-3671

Fax (386) 446-7777

Mailing address

112 Braves Way
Lavon, TX 75166-4700

Other practice locations

  • 112 Braves Way, Lavon, TX 75166-4700 · (734) 620-4533

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist 235Z00000X117777 (TX)
Speech-Language Pathologist Primary 235Z00000XSA16585 (FL)

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 1346760170

Krista Waggoner, CCC-SLP's National Provider Identifier is 1346760170, issued on Jun 22, 2017. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Palm Coast, FL. The record was last updated on Feb 21, 2022.