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

Anna Grace Wagoner

Individual provider Speech-Language Pathologist · NPI 1700708864

Anna Grace Wagoner is a Speech-Language Pathologist in Mount Airy, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2026

Practice location Address checks out

351 Riverside Dr
Mount Airy, NC 27030-3850
Phone: (336) 786-8355
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 30003090 (NC)

Record details

NPI number1700708864
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 29, 2026
Last updated in NPPESJuly 29, 2026
Certification dateJuly 29, 2026
Mailing address215 Oak Hill Dr, Mount Airy, NC 27030-7484

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