Individual provider · Type 1 NPI

Nicole A. M. Wagonheim, M.S. CCC-SLP

Speech-Language Pathologist · Towson, MD

NPI number 1407998651 Active

Practice location

7401 Osler Dr, Suite 110
Towson, MD 21204-7673

Mailing address

7455 Pinewild Rd
Seven Valleys, PA 17360-9165

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist Primary 235Z00000X02799 (MD)

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 1407998651

Nicole A. M. Wagonheim, M.S. CCC-SLP's National Provider Identifier is 1407998651, issued on Feb 13, 2007. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Towson, MD. The record was last updated on Nov 22, 2011.