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

Individual provider Speech-Language Pathologist · NPI 1871239293

MS. Kaitlynn Nicole Wagner, CCC-SLP is a Speech-Language Pathologist in Alexandria, Virginia. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2022
What do these letters mean?
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

900 Virginia Ave
Alexandria, VA 22302-3200
Phone: (703) 684-9100
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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 031767 (NY)

Record details

NPI number1871239293
Entity typeIndividual (Type 1)
GenderFemale
Credentials CCC-SLP
Sole proprietorYes
NPI enumeratedMay 9, 2022
Last updated in NPPESMay 9, 2022
Certification dateMay 9, 2022

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