Jody Wagoner

Speech-Language Pathologist · Paris, IL

Individual Active NPI

NPI number 1922581222

Practice location

509 E Newton St
Paris, IL 61944-2421
Phone
(217) 466-6170

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NPI record

NPI
1922581222
Entity type
Individual (Type 1)
Enumeration date
September 12, 2018
Last updated
September 12, 2018
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Speech-Language Pathologist Primary 235Z00000X — —

About Jody Wagoner

Jody Wagoner is a healthcare provider registered in the NPI registry with the primary taxonomy Speech-Language Pathologist (code 235Z00000X). The practice location is 509 E Newton St, Paris, IL 61944-2421. The NPI number 1922581222 was assigned on September 12, 2018 and the record was last updated on September 12, 2018.

Frequently asked questions

What is the NPI number of Jody Wagoner?

The NPI number is 1922581222.

What is the phone number of Jody Wagoner?

The phone number listed for the practice location is (217) 466-6170.

Where is Jody Wagoner located?

509 E Newton St, Paris, IL 61944-2421.

What is the taxonomy code for Jody Wagoner?

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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