LISA A WAGNER


Address: 2923 Downing St, Jacksonville, FL 32205-7518
Phone: 2298865058

LISA A WAGNER (NPI# 1679817225) 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) 1679817225
Entity Type Individual
Full Name LISA A WAGNER
Other Name LISA A BOURGEOIS
Credential SLP
Practice Address 2923 Downing St
Jacksonville
FL 32205-7518
Practice Telephone 2298865058
Mailing Telephone 2298865058
Enumeration Date 2012-11-20
Last Update Date 2016-04-18
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 235Z00000X Speech-Language Pathologist SA 13080 FL Speech, Language and Hearing Service Providers

Other Providers LISA WAGNER

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1952534521 Lisa Marie Wagner Occupational Therapist 2830 Carol Rd, York, PA 17402-3852 2009-08-31
1780824375 Lisa C Wagner Speech-Language Pathologist 59 Kinnebrook Rd, Harris, NY 12742 2009-02-23
1578731725 Lisa Louise Wagner Audiologist 5040 Villa Linde Pkwy Ste A, Flint, MI 48532-3445 2008-02-11
1083824593 Lisa Wagner Nurse Practitioner 1250 Broadway, 17th Floor, Visiting Nurse Service of New York, New York, NY 10001 2007-05-23
1982776712 Lisa Ann Wagner Dentist 1130 Sanctuary Pkwy, Alpharetta, GA 30009-4839 2006-11-15
1063418432 Lisa M. Wagner Home Health Aide 328 Antrim Rd, Xenia, OH 45385-2420 2005-06-21
1447654413 Lisa Wagner Occupational Therapist 1400 Griffin Mill Rd, Easley, SC 29640-6929 2014-10-20
1407270465 Lisa Wagner Counselor 3900 W Brown Deer Rd Ste 200, Milwaukee, WI 53209 2014-02-12

Office Location

Street Address 2923 DOWNING ST
City JACKSONVILLE
State FL
Zip Code 32205-7518

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1003466830 Brandon Neil Hillard Registered Nurse 1260 Mcduff Ave. South, Suite 4, Jacksonville, FL 32205 2019-09-13
1720436363 Ericka Sampson Massage Therapist 6859 Lenox Ave., Suite 6, Jacksonville, FL 32205 2016-05-24
1578921631 Northstar Counseling Counselor 1672 Pershing Rd, Jacksonville, FL 32205 2016-02-04
1649645144 Magaly Perez-cruz Speech-Language Pathologist 4101-1 College Street, Jacksonville, FL 32205 2015-12-09
1639448723 First Choice Adult Daycare and Home Health Ca Specialist 5336 Quan Drive, Jacksonville, FL 32205 2011-12-20
1437434222 Christopher Styer Pharmacist 654 Casset Ave, Jacksonville, FL 32205 2011-10-12
1871827279 April Marie Felton Nurse Practitioner 500 E. Adams Street, Bay Street Health Center, Jacksonville, FL 32205 2009-10-01
1922244821 Danielle Marie Sergent Physical Therapist 5222 Lenox Ave., Jacksonville, FL 32205 2008-12-23
1427181775 Lapp & Associates Behavioral Counselind Ctr Counselor 931 Cassat Avenue, Jacksonville, FL 32205 2007-03-14
1629143326 Elias Moussa Sargi Dentist 2700 Riverside Avenue, Ste 10, Jacksonville, FL 32205 2006-11-21
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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
1245848514 Danielle Huckaba Speech-Language Pathologist 12023 Wren Hollow Ct, Jacksonville, FL 32246-7787 2020-07-22
1699392209 Paige E Searcy Speech-Language Pathologist 907 Greenridge Rd, Jacksonville, FL 32207-5251 2020-06-30
1568086619 Carmen Schneider Speech-Language Pathologist 7701 Timberlin Park Blvd Apt 831, Jacksonville, FL 32256-5447 2020-06-04
1730702713 Jennifer Horn Debardeleben Speech-Language Pathologist 2101 W Palm Ave, Jacksonville, FL 32254-1734 2020-05-25
1508485509 Growing Voices Therapies, LLC Speech-Language Pathologist 12964 Julington Ridge Dr E, Jacksonville, FL 32258-3412 2020-04-10
1215561352 Lori Connon Speech-Language Pathologist 2334 Covington Creek Cir W, Jacksonville, FL 32224-1177 2020-02-27
1922631779 Homegrown Communication-slp, LLC Speech-Language Pathologist 5163 Shirley Ave, Jacksonville, FL 32210-3145 2020-02-20
1194357517 Lauren Lynne Blunk Speech-Language Pathologist 1010 N Davis St, Jacksonville, FL 32209-6824 2020-02-05
1669018255 Ying Dong Speech-Language Pathologist 7262 Deerfoot Point Cir Unit 3, Jacksonville, FL 32256-8623 2019-11-19
1710543764 Lesley Nicole Summers Speech-Language Pathologist 6817 Southpoint Pkwy Ste 1701, Jacksonville, FL 32216-6298 2019-05-15
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Competitor

Search similar providers

City JACKSONVILLE
Zip Code 32205

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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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