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

Stephanie Wagner

Individual provider Speech-Language Pathologist · NPI 1104291574

Stephanie Wagner is a Speech-Language Pathologist in Fairport, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2015

Practice location Address checks out

1387 Fairport Rd
Fairport, NY 14450-2003
Phone: (585) 641-0304
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 0217691 (NY)

Record details

NPI number1104291574
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 9, 2015
Last updated in NPPESDecember 9, 2015
Mailing address1387 Fairport Rd, Fairport, NY 14450-2003

Other providers in Fairport