MADELINE WAGNON (NPI# 1184279309) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184279309 |
| Entity Type | Individual |
| Full Name | MADELINE WAGNON |
| Credential | M.S., CFY-SLP |
| Practice Address |
2580 E Joyce Blvd Ste 12 Fayetteville AR 72703-3924 |
| Practice Telephone | 4795217337 |
| Practice Fax Number | 4795217338 |
| Mailing Telephone | 4795217337 |
| Mailing Fax Number | 4795217338 |
| Enumeration Date | 2019-08-05 |
| Last Update Date | 2019-08-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers |
| Street Address |
2580 E JOYCE BLVD STE 12 |
| City | FAYETTEVILLE |
| State | AR |
| Zip Code | 72703-3924 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780019919 | Mallory Anne Imhoff | Speech-Language Pathologist | 2580 E Joyce Blvd Ste 12, Fayetteville, AR 72703-3924 | 2013-09-06 |
| 1033726351 | Morgan Makayla Miller | Occupational Therapist | 2580 E Joyce Blvd Ste 12, Fayetteville, AR 72703-3924 | 2020-09-30 |
| 1154938603 | Leah Nicole Price | Occupational Therapist | 2580 E Joyce Blvd Ste 12, Fayetteville, AR 72703-3924 | 2020-09-29 |
| 1699252668 | Haven Herndon | Occupational Therapist | 2580 E Joyce Blvd Ste 12, Fayetteville, AR 72703 | 2018-07-23 |
| 1912497942 | Lyndsey Joy Burns | Speech-Language Pathologist | 2580 E Joyce Blvd Ste 12, Fayetteville, AR 72703-3924 | 2018-05-15 |
| 1881041580 | April Thompson | Speech-Language Pathologist | 2580 E Joyce Blvd Ste 12, Fayetteville, AR 72703-3924 | 2016-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477154391 | Margaret Sorrells | Pharmacist | 3909 N Mall Ave Attn:pharmacy, Fayetteville, AR 72703 | 2020-11-06 |
| 1497369631 | Justin A Rand | Massage Therapist | 88 W Colt Square Dr, Fayetteville, Ar 72703, Fayetteville, AR 72703 | 2020-09-04 |
| 1235777558 | Washington Regional Medical System | Specialist | 3264 N North Hills Blvd, Fayetteville, AR 72703 | 2019-12-17 |
| 1760024582 | Haley Brooke Thompson | Occupational Therapist | 2474 E Joyce Blvd Ste 2, Null, Fayetteville, AR 72703 | 2019-10-14 |
| 1306492129 | Bhg L, LLC | Clinic/Center | 8 Colt Square Drive, Fayetteville, AR 72703 | 2019-08-16 |
| 1306406269 | Idell Marie Mitchell | Optometrist | Eye Clinic, 1100 N College Ave, Fayetteville, AR 72703 | 2019-06-13 |
| 1821574815 | Toni Myer | Nurse Practitioner | 3 E Appleby Rd Ste 101, Fayetteville, AR 72703 | 2018-07-13 |
| 1306340393 | Josh Kelfer | Student in an Organized Health Care Education/Training Program | 1125 North College Avenue, Fayetteville, AR 72703 | 2018-03-22 |
| 1649726449 | Vantage Point of Nwa | Community/Behavioral Health | 4171 N. Crossover Rd, Fayetteville, AR 72703 | 2016-08-31 |
| 1386097137 | Jason Nordstrom | Speech-Language Pathologist | 2664 N Valencia Ave, Fayetteville, AR 72703 | 2016-07-18 |
| Find all providers in zip 72703 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033720297 | Madeleine Caroline Montoya | Speech-Language Pathologist | 1830 Owen Dr Ste 103, Fayetteville, NC 28304-3412 | 2020-08-12 |
| 1215548623 | Jasmine Nicole Nile | Speech-Language Pathologist | 106 S Duncan Ave, Fayetteville, AR 72701-5631 | 2020-08-11 |
| 1669096764 | Babbling Bunch Speech Therapy LLC | Speech-Language Pathologist | 145 Pepperdine Way, Fayetteville, GA 30214-3666 | 2020-06-04 |
| 1598387037 | Anne-ashley Hull | Speech-Language Pathologist | 12905 Randolph Road, Fayetteville, AR 72704 | 2020-05-07 |
| 1801436597 | Ruhee Keshwani | Speech-Language Pathologist | 1343 N Leverett Ave Apt 9, Fayetteville, AR 72703-1756 | 2020-01-09 |
| 1265080121 | Tempest Olivia Baker | Speech-Language Pathologist | 351 Wagoner Dr Ste 341, Fayetteville, NC 28303-4671 | 2019-09-03 |
| 1407403991 | Jennifer Nicole Gunderson | Speech-Language Pathologist | Bayada, 3419a Melrose Rd., Fayetteville, NC 28306-2830 | 2019-08-20 |
| 1275191769 | Lindsay Denise Richards | Speech-Language Pathologist | 3162 W Martin Luther King Blvd Ste 4, Fayetteville, AR 72704-7679 | 2019-05-30 |
| 1285290353 | Affinity Therapy Services | Speech-Language Pathologist | 2755 Bardolino Dr, Fayetteville, NC 28306-4635 | 2019-05-14 |
| 1942766829 | Speech Within Reach | Speech-Language Pathologist | 5594 Linkwood Dr, Fayetteville, NC 28311-0289 | 2019-02-15 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 72703 |
Please comment or provide details below to improve the information on MADELINE WAGNON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.