Individual provider · Type 1 NPI

Shannon Wagner, M.A, CCC-SLP

Speech-Language Pathologist · San Ramon, CA

NPI number 1871832691 Active

Practice location

125 Ryan Industrial Ct
San Ramon, CA 94583-1772

Call (925) 855-9810 Map

Mailing address

135 Jennifer Ct
Alamo, CA 94507-1261

Specialties and licenses

Taxonomy	Code	License
Speech-Language Pathologist Primary	235Z00000X	20207 (CA)

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 1871832691

Shannon Wagner, M.A, CCC-SLP's National Provider Identifier is 1871832691, issued on Feb 14, 2013. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in San Ramon, CA. The record was last updated on Feb 14, 2013.