| Krista Waggoner, CCC-SLP | |
|
4875 Palm Coast Pkwy Nw Unit 2, Palm Coast, FL 32137-3671 | |
| (386) 446-9935 | |
| (386) 446-7777 |
| Full Name | Krista Waggoner |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 4875 Palm Coast Pkwy Nw Unit 2, Palm Coast, Florida |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346760170 | NPI | - | NPPES |
| SA16585 | Other | FL | FLORIDA HEALTHCARE PRACTIONER LICENSE |
| SZ8087 | Other | FL | FLORIDA HEALTHCARE PRACTIONER LICENSE |
| 117777 | Other | TX | TEXAS SPEECH-LANGUAGE PATHOLOGIST LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 117777 (Texas) | Secondary |
| 235Z00000X | Speech-language Pathologist | SA16585 (Florida) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Krista Waggoner, CCC-SLP 112 Braves Way, Lavon, TX 75166-4700 Ph: (734) 620-4533 | Krista Waggoner, CCC-SLP 4875 Palm Coast Pkwy Nw Unit 2, Palm Coast, FL 32137-3671 Ph: (386) 446-9935 |
Rose Beaujour, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 25 Pine Cone Dr, Palm Coast, FL 32164 Phone: 800-796-0923 Fax: 800-796-0926 | |
Joanne Mcgunnigle Strickland, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3001 Palm Coast Pkwy Se, Palm Coast, FL 32137 Phone: 386-446-6060 | |
Ms. Emany Jenesis Desinor, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 34 Rymer Ln, Palm Coast, FL 32164 Phone: 386-264-2808 | |
Mrs. Katherine Love Timlin, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4875 Palm Coast Pkwy Nw Unit 2, Palm Coast, FL 32137 Phone: 386-503-4219 | |
Ellen Kellogg, M.A.CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 393 Palm Coast Pkwy Sw, Palm Coast, FL 32137 Phone: 585-202-2745 | |
Claudia G Pierce, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3001 Palm Coast Pkwy Se, Palm Coast, FL 32137 Phone: 386-446-6060 | |
Ms. Aislynn Christine Fulton, M.A. Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3001 Palm Coast Pkwy Se, Palm Coast, FL 32137 Phone: 386-446-6060 |