LESLIE WAGNER


Address: 3501 Taylor Ave, Baltimore, MD 21236-4406
Phone: 4104445000

LESLIE WAGNER (NPI# 1740788397) 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) 1740788397
Entity Type Individual
Full Name LESLIE WAGNER
Credential MS, CCC/SLP
Practice Address 3501 Taylor Ave
Baltimore
MD 21236-4406
Mailing Address 208 Hopkins Rd
Baltimore
MD 21212-1817
Practice Telephone 4104445000
Mailing Telephone 4432866926
Enumeration Date 2018-01-30
Last Update Date 2018-01-30
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 235Z00000X Speech-Language Pathologist 03853 MD Speech, Language and Hearing Service Providers

Other Providers LESLIE WAGNER

NPI Name Taxonomy Address Enumeration
1720293723 Leslie Wagner Speech-Language Pathologist 55 Tiemann Pl, Apt # 55, New York, NY 10027-3332 2007-05-11
1023139326 Leslie Michelle Wagner Massage Therapist 2710 Civic Cir, Amarillo, TX 79109-1648 2007-04-03
1013033398 Leslie Ann Wagner Psychologist 533 Saint Clair St, Grosse Pointe, MI 48230-1503 2007-03-21
1639699036 Leslie A Wagner Dentist 1212 N Cole Rd, Boise, ID 83704-8646 2017-06-27
1952841678 Leslie Wagner Social Worker 658 Kenilworth Dr, Suite 206, Towson, MD 21204-2312 2017-02-28
1033303938 Leslie Wagner Registered Nurse 9333 Tech Center Dr, Suite 800, Sacramento, CA 95826-2583 2007-09-04

Office Location

Street Address 3501 TAYLOR AVE
City BALTIMORE
State MD
Zip Code 21236-4406

Providers in the same location

NPI Name Taxonomy Address Enumeration
1154970275 Sarah Tweedle Social Worker 3501 Taylor Ave, Baltimore, MD 21236-4406 2019-09-11
1184278053 Christopher James Tabb Rehabilitation Counselor 3501 Taylor Ave, Baltimore, MD 21236-4406 2019-07-30
1366915043 Alexander Tyler Schultz Rehabilitation Counselor 3501 Taylor Ave, Baltimore, MD 21236-4406 2019-01-06
1235626706 Jennifer Ruth Keenan Specialist/Technologist 3501 Taylor Ave, Baltimore, MD 21236-4406 2018-04-19
1033616404 Jenny Elizabeth Westman-minnig Rehabilitation Counselor 3501 Taylor Ave, Baltimore, MD 21236-4406 2018-04-11
1629573704 William Hopkins Mcgeachy Rehabilitation Counselor 3501 Taylor Ave, Baltimore, MD 21236-4406 2018-03-29
1215432398 Vicki Webster Rehabilitation Counselor 3501 Taylor Ave, Baltimore, MD 21236-4406 2018-03-29
1225533672 Catherine Palanker Social Worker 3501 Taylor Ave, Baltimore, MD 21236-4406 2018-03-28
1548765159 Tracey Klein Occupational Therapist 3501 Taylor Ave, Baltimore, MD 21236-4406 2018-03-26
1710480991 Maureen Morgan Rehabilitation Counselor 3501 Taylor Ave, Baltimore, MD 21236-4406 2018-03-14
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1699381467 Monique Gaston Counselor Well Life Counseling and Consulting, 9649 Belair Road, Ste. 104, Nottingham, MD 21236 2020-09-17
1215575519 Bh Brightview Perry Hall Opco, LLC Alzheimer Center (Dementia Center) 9657 Belair Road, Nottingham, MD 21236 2019-12-17
1750929493 Bh Brightview White Marsh Opco, LLC Alzheimer Center (Dementia Center) 8100 Rossville Blvd., Baltimore, MD 21236 2019-12-12
1083257646 Matthew Peter Halstad Behavioral Analyst 8090 Sandpiper Circle, Nottingham, MD 21236 2019-10-25
1609331602 Tunisia Buise Social Worker 4132 E. Joppa Road Ste. 110-#1248, Baltimore, MD 21236 2019-02-04
1730673047 Golden Jemz Adult Medical Day Clinic/Center 5020 Cambell Blvd, Nottingham, MD 21236 2018-06-20
1487143400 For Eyes Optical of Pa Eyewear Supplier (Equipment, not the service) 7984 Honeygo Blvd, Nottingham, MD 21236 2018-05-04
1619478922 Weis Markets, Inc. Pharmacy 7927 Belair Rd Ste S, Nottingham, MD 21236 2018-02-22
1285133918 Joan Rosa Keller Behavior Technician 3501 Taylor Ave., Baltimore, MD 21236 2018-02-08
1205341146 Ebony Watkins Nurse Practitioner 8940 Kilkenny Circle, Nottingham, MD 21236 2017-12-13
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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
1497352496 Kristine Helen Moore Speech-Language Pathologist 6300 Pinehurst Rd, Baltimore, MD 21212-2534 2020-10-04
1508473018 Katherine Campagna Speech-Language Pathologist 2601 Tolley St, Baltimore, MD 21230-1534 2020-09-29
1629685656 Cali Wilde Speech-Language Pathologist 111 W Heath St Unit 401, Baltimore, MD 21230-4457 2020-09-24
1003422890 Rachel Weeks Speech-Language Pathologist 112 S Patterson Park Ave Apt 4, Baltimore, MD 21231-2114 2020-09-17
1285249508 Alexandra Walker Speech-Language Pathologist 1300 Gorsuch Ave, Baltimore, MD 21218-3777 2020-09-14
1154936425 Claire Elizabeth Fassett Speech-Language Pathologist 1624 Eutaw Pl, Baltimore, MD 21217-3724 2020-09-13
1356955371 Gabriela Peixoto Pereira Speech-Language Pathologist 3801 Fallstaff Rd, Baltimore, MD 21215-1502 2020-09-08
1407467012 Sarah Miriam Preiser Speech-Language Pathologist 2901 Smith Ave, Baltimore, MD 21208-4540 2020-08-17
1063020295 Ashley Banini Speech-Language Pathologist 8220 Tawnmoore Rd, Baltimore, MD 21244-3049 2020-07-14
1275151664 Katherine Ann Gallaher Speech-Language Pathologist 507 S East Ave, Baltimore, MD 21224-3914 2020-07-11
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Competitor

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City BALTIMORE
Zip Code 21236

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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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