Mrs Kelly Anne Wagner, SLP | |
331 E Park St, Weiser, ID 83672-2053 | |
(208) 549-0206 | |
(208) 549-0536 |
Full Name | Mrs Kelly Anne Wagner |
---|---|
Gender | Female |
Speciality | Speech-language Pathologist |
Location | 331 E Park St, Weiser, Idaho |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235562307 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | TSLP-2301 (Idaho) | Primary |
Mailing Address | Practice Location Address |
---|---|
Mrs Kelly Anne Wagner, SLP 331 E Park St, Weiser, ID 83672-2053 Ph: (208) 890-2995 | Mrs Kelly Anne Wagner, SLP 331 E Park St, Weiser, ID 83672-2053 Ph: (208) 549-0206 |
Judy Ann Carroll, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 331 E Park St, Weiser, ID 83672 Phone: 208-549-2416 | |
Janice Elaine Grimaldo, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 645 E 5th St, Weiser, ID 83672 Phone: 208-549-4172 | |
Angela M Asp, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 331 E Park St, Weiser, ID 83672 Phone: 208-549-0206 |