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

Individual provider Speech-Language Pathologist · NPI 1720293723

Leslie Wagner, MS, CCC is a Speech-Language Pathologist in New York, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2007
What do these letters mean?
MS — Master of Science
A graduate science degree.

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Practice location Address checks out

55 Tiemann Pl Apt # 55
New York, NY 10027-3332 Not confirmed with CMS for 19 years — call before visiting
Phone: (212) 662-7584
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 012587-1 (NY)

Record details

NPI number1720293723
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , CCC
Sole proprietorYes
NPI enumeratedMay 11, 2007
Last updated in NPPESJuly 8, 2007

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