Individual provider · Type 1 NPI

Amanda Wagner

Speech-Language Pathologist · Deforest, WI

NPI number 1376475053 Active

Practice location

Dahs 815 Jefferson Street
Deforest, WI 53532

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist Primary 235Z00000XNone listed

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 1376475053

Amanda Wagner's National Provider Identifier is 1376475053, issued on May 29, 2026. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Deforest, WI. The record was last updated on May 29, 2026.