Tracie Wagner
Tracie Wagner is a Qualified Speech Language Pathologist in Baltimore, Maryland. Qualified in 2006, 20 years ago. Practices with Accessible Speech Therapy, LLC, a 2-clinician group and accepts Medicare assignment. Licensed in Maryland.
- Years since qualifying
- 20
- Licensed in
- MD
- In the registry since
- 2017
Practice location Address checks out
6451 N Charles StBaltimore, MD 21212-1010
Phone: (877) 407-3422
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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 05722 (MD) |
|---|
Record details
| NPI number | 1851804363 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | November 7, 2017 |
| Last updated in NPPES | November 7, 2017 |
| Mailing address | 7 Carnegie Plz, Cherry Hill, NJ 08003-1000 |
Medicare enrollment
| Medicare specialty | QUALIFIED SPEECH LANGUAGE PATHOLOGIST |
|---|---|
| Medical school | OTHER |
| Graduated | 2006 (20 years in practice) |
| Group practice | Accessible Speech Therapy, Llc — 2 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
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Kelly Susan Wagner, MS, CCC-SLP
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