Samantha Rose Wagner, MACCC-SLPTSSLD
Samantha Rose Wagner, MACCC-SLPTSSLD is a Speech-Language Pathologist in Long Island City, New York. Licensed in New York. Registered with an NPI since 2023.
- Licensed in
- NY
- In the registry since
- 2023
Practice location Address checks out
4829 37th StLong Island City, NY 11101-1903
Phone: (646) 621-1320
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Specialties & licences
| Speech-Language Pathologist (primary) | Taxonomy 235Z00000X · Licence 033514 (NY) |
|---|
Record details
| NPI number | 1053185405 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | MACCC-SLPTSSLD |
| Sole proprietor | No |
| NPI enumerated | November 7, 2023 |
| Last updated in NPPES | May 2, 2024 |
| Certification date | May 2, 2024 |
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