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

Mrs. Annie Stagner Wyatt, MSCCC-SLP

Individual provider Speech-Language Pathologist · NPI 1902296890

Mrs. Annie Stagner Wyatt, MSCCC-SLP is a Speech-Language Pathologist in Fort Campbell, Kentucky. Licensed in Kentucky. Registered with an NPI since 2015.

Licensed in
KY
In the registry since
2015

Practice location Address checks out

650 Joel Dr
Fort Campbell, KY 42223-5318
Phone: (270) 798-8388
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 164756 (KY)

Record details

NPI number1902296890
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSCCC-SLP
Sole proprietorNo
NPI enumeratedJanuary 29, 2015
Last updated in NPPESNovember 10, 2016

Other providers in Fort Campbell