Amanda L. Wagner, M.S., CCC-SLP

Speech-Language Pathologist · Quincy, IL

Individual Active NPI

NPI number 1679884696

Practice location

1025 Maine St
Quincy, IL 62301-4038
Phone
(217) 222-6550
Fax
(217) 277-2253

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NPI record

NPI
1679884696
Entity type
Individual (Type 1)
Enumeration date
June 24, 2010
Last updated
May 23, 2011
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Speech-Language Pathologist Primary 235Z00000X 146008923 IL

About Amanda Wagner

Amanda L. Wagner, M.S., CCC-SLP is a healthcare provider registered in the NPI registry with the primary taxonomy Speech-Language Pathologist (code 235Z00000X). The practice location is 1025 Maine St, Quincy, IL 62301-4038. The NPI number 1679884696 was assigned on June 24, 2010 and the record was last updated on May 23, 2011.

Amanda Wagner lists a license in the registry: #146008923 (IL) for Speech-Language Pathologist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Amanda L. Wagner, M.S., CCC-SLP?

The NPI number is 1679884696.

What is the phone number of Amanda Wagner?

The phone number listed for the practice location is (217) 222-6550.

Where is Amanda Wagner located?

1025 Maine St, Quincy, IL 62301-4038.

What is the taxonomy code for Amanda Wagner?

The primary taxonomy code is 235Z00000X – Speech-Language Pathologist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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