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

MS. Nicole A. M. Wagonheim, MSCCC-SLP

Individual provider Speech-Language Pathologist · NPI 1407998651

MS. Nicole A. M. Wagonheim, MSCCC-SLP is a Speech-Language Pathologist in Towson, Maryland. Licensed in Maryland. Registered with an NPI since 2007.

Licensed in
MD
In the registry since
2007

Practice location Address checks out

7401 Osler Dr Ste 110
Towson, MD 21204-7673
Phone: (410) 296-8888
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 02799 (MD)

Record details

NPI number1407998651
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSCCC-SLP
Sole proprietorNo
NPI enumeratedFebruary 13, 2007
Last updated in NPPESNovember 22, 2011

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