Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Kelly Anne Wagner, MSCCC-SLP

Individual provider Speech-Language Pathologist · NPI 1235562307

Mrs. Kelly Anne Wagner, MSCCC-SLP is a Speech-Language Pathologist in Edmonds, Washington. Practices as a sole proprietor. Licensed in Washington.

Licensed in
WA
In the registry since
2013
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Practice location Address checks out

7500 212th St SW Ste 204
Edmonds, WA 98026-7617
Phone: (360) 504-8893
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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 61092065 (WA)

Record details

NPI number1235562307
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSCCC-SLP
Sole proprietorYes
NPI enumeratedAugust 13, 2013
Last updated in NPPESJune 11, 2025
Certification dateJune 11, 2025

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