Penina Wagshall
Penina Wagshall is a Specialist in Waterbury, Connecticut. Practices as a sole proprietor. Licensed in Connecticut.
- Licensed in
- CT
- In the registry since
- 2019
- Specialties on file
- 2
Practice location Address checks out
129 Farmington AveWaterbury, CT 06710-1739
Phone: (347) 756-0707
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Specialties & licences
| Speech-Language Pathologist (primary) | Taxonomy 235Z00000X · Licence 7894 (CT) |
|---|---|
| Specialist | Taxonomy 174400000X |
Record details
| NPI number | 1962040766 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | December 12, 2019 |
| Last updated in NPPES | January 16, 2025 |
| Certification date | January 16, 2025 |
| Mailing address | 129 Farmington Ave, Waterbury, CT 06710-1739 |
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