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

Individual provider Speech-Language Pathologist · NPI 1780824375

Mrs. Lisa C Wagner, MS, CCC-SLP is a Speech-Language Pathologist in Harris, New York. Licensed in New York. Registered with an NPI since 2009.

Licensed in
NY
In the registry since
2009
What do these letters mean?
MS — Master of Science
A graduate science degree.
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

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Practice location Address checks out

59 Kinnebrook Rd
Harris, NY 12742
Phone: (845) 794-1400
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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 0187811 (NY)

Record details

NPI number1780824375
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , CCC-SLP
Sole proprietorNo
NPI enumeratedFebruary 23, 2009
Last updated in NPPESJanuary 9, 2012

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