Karisa Wagenman, MSED, CCC-SLP | |
14 Old Bridge Tpke, South River, NJ 08882-2496 | |
(732) 698-8786 | |
Not Available |
Full Name | Karisa Wagenman |
---|---|
Gender | Female |
Speciality | Speech-language Pathologist |
Location | 14 Old Bridge Tpke, South River, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1215541602 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | 41YS01039600 (New Jersey) | Primary |
Provider Name | Midstate Therapy Associates Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1568672913 PECOS PAC ID: 4284882705 Enrollment ID: O20120907000015 |
Mailing Address | Practice Location Address |
---|---|
Karisa Wagenman, MSED, CCC-SLP 33 Old Queens Blvd, Manalapan, NJ 07726-3641 Ph: (908) 839-0278 | Karisa Wagenman, MSED, CCC-SLP 14 Old Bridge Tpke, South River, NJ 08882-2496 Ph: (732) 698-8786 |
Mrs. Theresa Ann Gabler, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2 Colin Dr, South River, NJ 08882 Phone: 732-238-0622 | |
Speech And Reading Academy, Llc Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 8 Old Bridge Tpke, South River, NJ 08882 Phone: 732-698-8766 | |
Mina Syed, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 14 Old Bridge Tpke, South River, NJ 08882 Phone: 732-698-8766 |