MRS. MIRIAM ELIZABETH WAGNER (NPI# 1720367147) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1720367147 |
Entity Type | Individual |
Full Name | MRS. MIRIAM ELIZABETH WAGNER |
Credential | MS CCC-SLP |
Practice Address |
301 Pinehaven Street Ext Laurens SC 29360-2671 |
Practice Telephone | 8649846584 |
Practice Fax Number | 8649846464 |
Mailing Telephone | 8649846584 |
Mailing Fax Number | 8649846464 |
Enumeration Date | 2011-08-16 |
Last Update Date | 2013-04-30 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 235Z00000X | Speech-Language Pathologist | 4351 | SC | Speech, Language and Hearing Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053766956 | Miriam Denise Wagner | Social Worker | 900 Beasley St, Lexington, KY 40509-4266 | 2016-04-28 |
Street Address |
301 PINEHAVEN STREET EXT |
City | LAURENS |
State | SC |
Zip Code | 29360-2671 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689601429 | Cynthia Christine Smith | Specialist | 301 Pinehaven Street Ext, Laurens, SC 29360-2671 | 2006-06-27 |
1548549967 | Jillian Marie Johnson | Occupational Therapy Assistant | 301 Pinehaven Street Ext, Laurens, SC 29360-2671 | 2011-08-16 |
1689970774 | Shannon M Giglotti | Physical Therapist | 301 Pinehaven Street Ext, Laurens, SC 29360-2671 | 2011-02-07 |
1447569256 | Jamie Anne Wieneke | Occupational Therapy Assistant | 301 Pinehaven Street Ext, Laurens, SC 29360-2671 | 2010-09-28 |
1902114358 | Heather Hawkins Franklin | Speech-Language Pathologist | 301 Pinehaven Street Ext, Laurens, SC 29360-2671 | 2010-09-20 |
1841508280 | Mary Kathryn Laforge | Speech-Language Pathologist | 301 Pinehaven Street Ext, Laurens, SC 29360-2671 | 2010-09-20 |
1376855858 | Katie Helen Mccoy | Speech-Language Pathologist | 301 Pinehaven Street Ext, Laurens, SC 29360-2671 | 2010-07-13 |
1205148780 | Leigh Smith Wolke | Physical Therapist | 301 Pinehaven Street Ext, Laurens, SC 29360-2671 | 2010-07-13 |
1992022768 | Melinda Ann Beaver | Occupational Therapist | 301 Pinehaven Street Ext, Laurens, SC 29360-2671 | 2010-05-03 |
1891017802 | Jennifer Lynn Jones | Physical Therapist | 301 Pinehaven Street Ext, Laurens, SC 29360-2671 | 2010-02-17 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629564323 | Dj Healthcare Group | Counselor | 639 Sullivan Street, Laurens, SC 29360 | 2018-07-05 |
1770082158 | Carrie Abigail Culbertson | Counselor | 112 Henderson Lane, Laurens, SC 29360 | 2018-02-12 |
1508305186 | Amy Ledford Strickland | Nurse Practitioner | 22580 Highway 76 E Ste 300, Laurens, SC 29360 | 2017-02-16 |
1346785730 | Virginia Smith | Registered Nurse | 1035 West Main Street, Laurens, SC 29360 | 2016-12-21 |
1245774066 | Donna Gragg | Licensed Practical Nurse | 601 Lucas Ave, Laurens, SC 29360 | 2016-12-13 |
1174891840 | Lori Hilley West | Pharmacist | 1518 W. Main St., Laurens, SC 29360 | 2011-12-08 |
1841575701 | Lauren Allen Turner | Speech-Language Pathologist | 307 Pinehaven Street, Laurens, SC 29360 | 2011-10-11 |
1710217856 | Rachael Carroll | Occupational Therapy Assistant | 379 Pinehaven St Ext, Laurens, SC 29360 | 2010-01-13 |
1437384245 | Amy J Floyd | Occupational Therapy Assistant | 379 Pinehaven St. Ext, Laurens, SC 29360 | 2009-05-22 |
1275768228 | Laurens Electric Cooperative | Emergency Response System Companies | 2254 Hwy 14, Laurens, SC 29360 | 2009-05-20 |
Find all providers in zip 29360 |
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 |
---|---|---|---|---|
1841575701 | Lauren Allen Turner | Speech-Language Pathologist | 307 Pinehaven Street, Laurens, SC 29360 | 2011-10-11 |
1629295662 | Tiffany Quinn Allen | Speech-Language Pathologist | 379 Pinehaven Street. Extention, Laurens, SC 29360 | 2007-04-19 |
1053498261 | Karen O Behrendt | Speech-Language Pathologist | 102 Woodview Dr, Laurens, SC 29360-2254 | 2006-11-01 |
1548884620 | Latara Monique Armstrong | Speech-Language Pathologist | 1 Martha Franks Dr, Laurens, SC 29360-1772 | 2020-06-03 |
1710528658 | Amanda Suhandron | Speech-Language Pathologist | 301 Henry St, Laurens, SC 29360-1746 | 2019-10-02 |
1205322484 | Elizabeth Madison Williams | Speech-Language Pathologist | 1 Martha Franks Dr, Laurens, SC 29360-1772 | 2018-07-10 |
1114443603 | Portia Tucker | Speech-Language Pathologist | 301 Henry St, Laurens, SC 29360-1746 | 2017-08-17 |
1710336367 | Amanda Morel | Speech-Language Pathologist | 1 Martha Franks Dr, Laurens, SC 29360-1772 | 2016-06-05 |
1740693027 | Tina Hoben | Speech-Language Pathologist | 304 E Veterans Rd, Laurens, IA 50554-1555 | 2014-06-04 |
1376985101 | Allison Rosenthal Herrold | Speech-Language Pathologist | 379 Pinehaven Street Ext, Laurens, SC 29360 | 2013-07-22 |
Find all providers in LAURENS |
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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.