Provider Demographics
NPI:1669934188
Name:WAGANER, KAREN BRIGGS (MS, CCC-SLP)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:BRIGGS
Last Name:WAGANER
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21216 MILLERS MILL RD
Mailing Address - Street 2:
Mailing Address - City:FREELAND
Mailing Address - State:MD
Mailing Address - Zip Code:21053-9548
Mailing Address - Country:US
Mailing Address - Phone:410-215-1347
Mailing Address - Fax:410-887-1901
Practice Address - Street 1:19810 MIDDLETOWN RD
Practice Address - Street 2:
Practice Address - City:FREELAND
Practice Address - State:MD
Practice Address - Zip Code:21053-9403
Practice Address - Country:US
Practice Address - Phone:410-887-1900
Practice Address - Fax:410-887-1901
Is Sole Proprietor?:No
Enumeration Date:2019-04-03
Last Update Date:2019-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist