STEPHANIE WAGNER
NPI 1104291574
Speech-Language Pathologist in Fairport, NY

Active since December 09, 2015
1387 FAIRPORT RD, FAIRPORT, NY 14450(585) 641-0304 Get Directions Write a Review

NPPES record last updated: December 9, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Stephanie Wagner NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STEPHANIE WAGNER (NPI 1104291574) is an individual speech-language pathologist provider in Fairport, New York, licensed in New York (0217691) and active in the NPI registry since December 2015.

NPPES Registry Identity

NPI1104291574
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameSTEPHANIE WAGNER
Location Address1387 FAIRPORT RDFairport, NY 14450-2003
Mailing Address1387 Fairport RdFairport, NY 14450-2003
Sole ProprietorYes
Enumeration DateDecember 9, 2015
NPI 1104291574 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License Licensed in NY · 0217691
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.
1387 FAIRPORT RD, Fairport, NY 14450

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
1387 FAIRPORT RD, BUILDING 1100
FAIRPORT, NY 14450
Speech-Language Pathologist
1387 FAIRPORT RD
FAIRPORT, NY 14450
Nurse Practitioner (Psychiatric/Mental Health)
1387 FAIRPORT RD, BUILDING 600 SUITE 660
FAIRPORT, NY 14450
Clinic/Center (Developmental Disabilities)
1387 FAIRPORT RD, BUILDING 1100
FAIRPORT, NY 14450
Psychiatry & Neurology (Psychiatry)
1387 FAIRPORT RD, SUITE 580
FAIRPORT, NY 14450
Social Worker (Clinical)
1387 FAIRPORT RD, SUITE 1000D
FAIRPORT, NY 14450
Psychiatry & Neurology (Psychiatry)
1387 FAIRPORT RD, 660 FAIRPORT OFFICE PARK
FAIRPORT, NY 14450
Social Worker (Clinical)
1387 FAIRPORT RD, BUILDING 500, SUITE 540
FAIRPORT, NY 14450

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stephanie Wagner's NPI number?

The NPI number for Stephanie Wagner is 1104291574. It was assigned to this individual provider in the NPPES registry on December 9, 2015.

Where is Stephanie Wagner located?

Stephanie Wagner practices at 1387 Fairport Rd, Fairport, NY 14450. The listed phone number is (585) 641-0304.

What is Stephanie Wagner's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

When was this NPI record last updated?

The NPPES record for Stephanie Wagner was last updated on December 9, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.