Individual provider · Type 1 NPI

Shelby Wagner, M.S., CCC-SLP

Speech-Language Pathologist · Kenosha, WI

NPI number 1760976450 Active

Practice location

5219 88th Ave
Kenosha, WI 53144-7468

Call (262) 653-0850 Map

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist Primary 235Z00000X121280 (TX)
Speech-Language Pathologist 235Z00000X4646-154 (WI)

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 1760976450

Shelby Wagner, M.S., CCC-SLP's National Provider Identifier is 1760976450, issued on Jun 18, 2018. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Kenosha, WI. The record was last updated on May 19, 2026.