Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Alyssa Wagner

Individual provider Speech-Language Pathologist · NPI 1639671688

Alyssa Wagner is a Speech-Language Pathologist in Southfield, Michigan. Licensed in Michigan. Registered with an NPI since 2018.

Licensed in
MI
In the registry since
2018

Practice location Address checks out

16001 W 9 Mile Rd
Southfield, MI 48075-4818
Phone: (248) 849-3311
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 7101004736 (MI)

Record details

NPI number1639671688
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 6, 2018
Last updated in NPPESMarch 6, 2018
Mailing address16490 Old Bedford Rd, Northville, MI 48168-2067

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