AUDREY WAGNER MS, CCC-SLP
NPI 1750861639
Speech-Language Pathologist in Federal Way, WA

Q: What is Audrey Wagner's NPI number?

The NPI number for Audrey Wagner is 1750861639. It was assigned to this individual provider in the NPPES registry on August 20, 2018. The provider is also known as Audrey Eubanks Ms, Ccc-Slp.

Q: What is Audrey 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 Audrey Wagner was last updated on November 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 20, 2018

34515 9TH AVE S, FEDERAL WAY, WA 98003(253) 944-7970 Get Directions Write a Review

NPPES record last updated: November 9, 2023. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Nov 9, 2023, May 2, 2022, Dec 2, 2020 and 2 more (5 updates tracked since 2018).

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About Audrey Wagner Ms, Ccc-slp NPPES

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

AUDREY WAGNER MS, CCC-SLP (NPI 1750861639) is an individual speech-language pathologist provider in Federal Way, Washington, licensed in Washington (LL60973136) and active in the NPI registry since August 2018. She maintains a secondary practice location in Tacoma.

NPPES Registry Identity

NPI1750861639

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameAUDREY WAGNERCredential: MS, CCC-SLP

Location Address34515 9TH AVE SFederal Way, WA 98003-6761

Mailing Address35535 6th Ave SwFederal Way, WA 98023-8110 · (253) 874-5445

Phone(253) 944-7970

Sole ProprietorYes

Enumeration DateAugust 20, 2018

Last NPPES UpdateNovember 9, 20235 updates tracked since enumeration

NPPES CertifiedNovember 9, 2023

✔ NPI 1750861639 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 WA · LL60973136

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.

34515 9TH AVE S, Federal Way, WA 98003

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Other Names 1

Former Name (1)Audrey Eubanks Ms, Ccc-slp

Secondary Practice Location 1

Location 11717 S J StTacoma, WA 98405-4933 · Phone (253) 426-6729

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

Other Providers at the Same Location NPPES 20

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

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