MRS. Lisa C Wagner, M.S., CCC-SLP

NPI #1780824375 in Harris, New York

Provider Information

NPI Number
1780824375
Entity Type
Individual
Name
MRS. Lisa C Wagner, M.S., CCC-SLP
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Speech-Language Pathologist
Credential
M.S., CCC-SLP
Enumeration Date
Feb 23, 2009
Last Updated
Jan 9, 2012

Practice Location

Address
59 KINNEBROOK RD
City
Harris
ZIP Code
12742
Phone
(845) 794-1400

Specialties & Taxonomy Codes

Specialty
Speech-Language Pathologist

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