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

Individual provider Speech-Language Pathologist · NPI 1871832691

Shannon Wagner, MA, CCC-SLP is a Speech-Language Pathologist in San Ramon, California. Licensed in California. Registered with an NPI since 2013.

Licensed in
CA
In the registry since
2013
What do these letters mean?
MA — Master of Arts
A graduate arts degree.
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

125 Ryan Industrial Ct
San Ramon, CA 94583-1772
Phone: (925) 855-9810
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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 20207 (CA)

Record details

NPI number1871832691
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA , CCC-SLP
Sole proprietorNo
NPI enumeratedFebruary 14, 2013
Last updated in NPPESFebruary 14, 2013

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