KELLEY WAGNER MS, CCC-SLP
NPI 1376023986
Speech-Language Pathologist in Austin, TX

Q: What is Kelley Wagner's NPI number?

The NPI number for Kelley Wagner is 1376023986. It was assigned to this individual provider in the NPPES registry on August 14, 2018.

Q: What is Kelley Wagner's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kelley Wagner was last updated on August 14, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since August 14, 2018

9201 BRODIE LN UNIT 2601, AUSTIN, TX 78748(512) 517-3906 Get Directions Write a Review

NPPES record last updated: August 14, 2018. Verified against the NPPES registry weekly; last sync: October 04, 2026.

On this page

About Kelley Wagner Ms, Ccc-slp NPPES

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

KELLEY WAGNER MS, CCC-SLP (NPI 1376023986) is an individual speech-language pathologist provider in Austin, Texas, licensed in Texas (112685) and active in the NPI registry since August 2018.

NPPES Registry Identity

NPI1376023986

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameKELLEY WAGNERCredential: MS, CCC-SLP

Location Address9201 BRODIE LN UNIT 2601Austin, TX 78748-6290

Mailing Address9201 Brodie Ln Unit 2601Austin, TX 78748-6290 · (512) 517-3906

Phone(512) 517-3906

Sole ProprietorNo

Enumeration DateAugust 14, 2018

✔ NPI 1376023986 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 TX · 112685

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.

9201 BRODIE LN UNIT 2601, Austin, TX 78748

Open in Google Maps ↗

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 Kelley Wagner's NPI number?

The NPI number for Kelley Wagner is 1376023986. It was assigned to this individual provider in the NPPES registry on August 14, 2018.

Where is Kelley Wagner located?

Kelley Wagner practices at 9201 Brodie Ln Unit 2601, Austin, TX 78748. The listed phone number is (512) 517-3906.

What is Kelley 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 Kelley Wagner was last updated on August 14, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.