KIMBERLI WAGNER SLP
NPI 1396980835
Speech-Language Pathologist in Port Huron, MI

Active since December 12, 2008
1411 3RD ST STE C, PORT HURON, MI 48060(810) 350-9149 Get Directions Write a Review

NPPES record last updated: December 11, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kimberli Wagner Slp NPPES

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

KIMBERLI WAGNER SLP (NPI 1396980835) is an individual speech-language pathologist provider in Port Huron, Michigan, licensed in Michigan (7101000426) and active in the NPI registry since December 2008.

NPPES Registry Identity

NPI1396980835
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameKIMBERLI WAGNERCredential: SLP
Location Address1411 3RD ST STE CPort Huron, MI 48060-5480
Mailing Address2057 Edward Ln EKimball, MI 48074-1925 · (810) 531-2931
Sole ProprietorNo
Enumeration DateDecember 12, 2008
Last NPPES UpdateDecember 11, 2018
NPI 1396980835 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 MI · 7101000426
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.

1411 3RD ST STE C, Port Huron, MI 48060

Other Providers at the Same Location NPPES 10

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

Social Worker
1411 3RD ST STE C
PORT HURON, MI 48060
Occupational Therapist
1411 3RD ST STE C
PORT HURON, MI 48060
Occupational Therapist
1411 3RD ST STE C
PORT HURON, MI 48060
Social Worker
1411 3RD ST STE C
PORT HURON, MI 48060
Physical Therapy Assistant
1411 3RD ST STE C
PORT HURON, MI 48060
Occupational Therapist
1411 3RD ST STE C
PORT HURON, MI 48060
Physical Therapist
1411 3RD ST STE C
PORT HURON, MI 48060
Physical Therapist
1411 3RD ST STE C
PORT HURON, MI 48060

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 Kimberli Wagner's NPI number?

The NPI number for Kimberli Wagner is 1396980835. It was assigned to this individual provider in the NPPES registry on December 12, 2008.

Where is Kimberli Wagner located?

Kimberli Wagner practices at 1411 3rd St Ste C, Port Huron, MI 48060. The listed phone number is (810) 350-9149.

What is Kimberli 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 Kimberli Wagner was last updated on December 11, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.