Doctor Name: | RACHEL MCMANUS-WAGNER |
NPI Number: | 1467784975 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A., CFY-SLP |
License Number: | 46001977A |
Business Practice Address: | 11550 N Meridian St Carmel, IN - 460326956 |
Business Phone Number: | 3178150778 |
Business Fax Number: | |
Mailing Address: | 1841 S Pecan Ln, BLOOMINGTON |
State: | IN |
Postal Code: | 474033257 |
Phone Number: | 2315901747 |
Fax Number: | |
NPI Enumeration Date: | 02/08/2010 |
NPI Last Update Date: | 02/08/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 46001977A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |