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

Scott Wagner, MACCC-SLP

Individual provider Speech-Language Pathologist · NPI 1124492350

Scott Wagner, MACCC-SLP is a Speech-Language Pathologist in Saint Louis, Missouri. Licensed in Missouri. Registered with an NPI since 2015.

Licensed in
MO
In the registry since
2015

Practice location Address checks out

5045 Kennelwood Dr
Saint Louis, MO 63129-2424
Phone: (314) 852-5282
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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 104180 (MO)

Record details

NPI number1124492350
Entity typeIndividual (Type 1)
GenderMale
Credentials MACCC-SLP
Sole proprietorNo
NPI enumeratedNovember 27, 2015
Last updated in NPPESNovember 27, 2015
Mailing address5045 Kennelwood Dr, Saint Louis, MO 63129-2424

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