ALYSSA WAGNER


Address: 16001 W 9 Mile Rd, Southfield, MI 48075-4818
Phone: 2488493311

ALYSSA WAGNER (NPI# 1639671688) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1639671688
Entity Type Individual
Full Name ALYSSA WAGNER
Practice Address 16001 W 9 Mile Rd
Southfield
MI 48075-4818
Mailing Address 16490 Old Bedford Rd
Northville
MI 48168-2067
Practice Telephone 2488493311
Enumeration Date 2018-03-06
Last Update Date 2018-03-06
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 235Z00000X Speech-Language Pathologist 7101004736 MI Speech, Language and Hearing Service Providers

Other Providers ALYSSA WAGNER

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1497207898 Alyssa Wagner Physical Therapist 425 S Cherry St Ste 1000, Denver, CO 80246-1236 2016-11-01
1689208969 Alyssa Wagner Behavior Technician 27777 Inkster Rd Ste 100, Farmington Hills, MI 48334-5326 2020-02-26
1700352143 Alyssa Rose Wagner Registered Nurse 353 Deadmond Ferry Rd, Springfield, OR 97477-9406 2018-10-23
1730626821 Alyssa Wagner Behavior Technician 1003 7th Ave, Kirkland, WA 98033-5779 2017-01-26

Office Location

Street Address 16001 W 9 MILE RD
City SOUTHFIELD
State MI
Zip Code 48075-4818

Providers in the same location

NPI Name Taxonomy Address Enumeration
1114929338 Sally Rae Arbuckle Registered Nurse 16001 W 9 Mile Rd, Southfield, MI 48075-4818 2005-06-01
1730780651 Jennifer Bekes Nurse Anesthetist, Certified Registered 16001 W 9 Mile Rd, Southfield, MI 48075-4818 2020-11-06
1497361133 Matthew Hoffman Nurse Anesthetist, Certified Registered 16001 W 9 Mile Rd, Southfield, MI 48075-4818 2020-09-18
1447866215 Marisa Mcalister Nurse Practitioner 16001 W 9 Mile Rd, Southfield, MI 48075-4803 2020-09-17
1629682935 John Michael Faraj Registered Nurse 16001 W 9 Mile Rd, Southfield, MI 48075-4818 2020-09-03
1861017337 Adnan Basheer Internal Medicine 16001 W 9 Mile Rd, Southfield, MI 48075-4818 2020-06-10
1891319885 Seti Kelemework Belay Radiology 16001 W 9 Mile Rd, Southfield, MI 48075-4818 2020-06-04
1467076851 Alexa Rae Arvidson Internal Medicine 16001 W 9 Mile Rd, Southfield, MI 48075-4818 2020-06-02
1275157638 Angela Niezgoda Obstetrics & Gynecology 16001 W 9 Mile Rd, Southfield, MI 48075-4818 2020-06-02
1942824453 Marc Thomas Zughaib Internal Medicine 16001 W 9 Mile Rd, Southfield, MI 48075-4818 2020-06-01
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1851900054 K&b Medical Wigs, LLC Durable Medical Equipment & Medical Supplies 16250 Northland Dr. Ste 221, Southfield, MI 48075 2020-07-24
1790300390 Julian Jeberaeel Radiology 2250 Providence, Southfield, MI 48075 2020-06-10
1265056410 Husein Yusuf Husein Podiatrist Ascension Providence Hospital Southfield Campus, 16001 W. Nine Mile Rd. Depaul 2nd Floor, Southfield, Mi, MI 48075 2020-06-03
1952945420 Paris Straughter Nurse Practitioner 18438 Onyx St, Southfield, MI 48075 2019-10-29
1811467657 Medicine Man Medical, Pllc Physical Medicine & Rehabilitation 25130 Southfield Road, Suite #210, Southfield, MI 48075 2018-12-04
1447725528 Rommel Ramos Perez Physical Therapist 26017 Greenfield Rd., Southfield, MI 48075 2018-10-04
1073009627 Jacqueline Venora Goodgame Licensed Practical Nurse 4000 Town Ctr, Southfield, MI 48075 2018-07-06
1043712532 Hollie Marie Maltese Physical Therapy Assistant 22255 Greenfiled 118, Southfield, MI 48075 2018-03-01
1932601481 Katie Marie Mccormack Occupational Therapist 16001 West Nine Mile Rd., Southfield, MI 48075 2018-03-01
1801304241 Absolute Hc LLC Physical Therapist 23461 Greenfield Rd Ste 200b, Southfield, MI 48075 2018-01-19
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Taxonomy Information

Taxonomy Code 235Z00000X
Grouping Speech, Language and Hearing Service Providers
Classification Speech-Language Pathologist

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1174121040 Speech and Language Solutions LLC Speech-Language Pathologist 24001 Southfield Rd Ste 206, Southfield, MI 48075-2847 2020-10-13
1922612258 Sujit John Speech-Language Pathologist 17330 Northland Park Ct Ste 200a, Southfield, MI 48075-4325 2020-09-03
1962933606 Leah Tawil Speech-Language Pathologist 15679 Goldwin Pl, Southfield, MI 48075-2108 2017-03-24
1740637925 Rachel Muller Speech-Language Pathologist 15842 Addison St, Southfield, MI 48075-3054 2016-05-18
1215399555 Jayne Mcgee Speech-Language Pathologist 26770 E Carnegie Park Dr, Southfield, MI 48034-6154 2016-03-25
1942550306 Janetta Hubbard Speech-Language Pathologist 18601 Bainbridge Dr., Southfield, MI 48076 2012-09-13
1114275492 Abc Therapy Solutions Speech-Language Pathologist 18601 Bainbridge Dr, Southfield, MI 48076-5312 2012-08-17
1114248630 Raynell Theresa Clark Speech-Language Pathologist 25281 Lois Ln, Southfield, MI 48075-6159 2010-06-18
1023225562 Jacob Alan Zinke Speech-Language Pathologist 29776 Farmbrook Villa Ln, Southfield, MI 48034-1066 2007-05-16
1982816609 Laura Wayburn Speech-Language Pathologist 18824 Webster Ave, Southfield, MI 48076-5741 2007-05-04
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Competitor

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City SOUTHFIELD
Zip Code 48075

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Dataset Information

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.

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