Wagner, Shannon

Wagner, Shannon is an individual health care provider with primary practice located at 125 Ryan Industrial Ct , San Ramon CA 94583-1772. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Wagner, Shannon can be contacted via phone (925) 855-9810.

Contact Information

Primary practice address
125 Ryan Industrial Ct San Ramon CA 94583-1772
Phone: (925) 855-9810
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 20207 California

Profile Details

NPI number 1871832691
LBN Legal business name Wagner, Shannon
Credentials M.A, CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 2013
Last updated Feb 14th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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