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

Mrs. Lori Reeds Waggoner, MSCCC/SLP

Individual provider Speech-Language Pathologist · NPI 1629596671

Mrs. Lori Reeds Waggoner, MSCCC/SLP is a Speech-Language Pathologist in Pinckneyville, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2017

Practice location Address checks out

301 W Mulberry St
Pinckneyville, IL 62274-1370
Phone: (618) 357-5161
Fax: (618) 357-9431
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 146005164 (IL)

Record details

NPI number1629596671
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSCCC/SLP
Sole proprietorYes
NPI enumeratedAugust 30, 2017
Last updated in NPPESJuly 21, 2022

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