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NPI Code Detail

MEDICARE: KRISTIN FLORA WENGER M.S. CCC-SLP

MEDICARE: KRISTIN FLORA WENGER M.S. CCC-SLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist2202007378VA

General Provider Information

NPI Number : 1285048314
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTIN FLORA WENGER M.S. CCC-SLP
Provider Business Mailing Address
First Line : 6994 KIEFFER RD
Second Line :
City : SINGERS GLEN
State : VA
Zip : 22850-2101
Country : US
Telephone Number : 540-493-6196
Fax Number :
Provider Business Practice Location Address
First Line : 1591 PORT REPUBLIC RD
Second Line :
City : ROCKINGHAM
State : VA
Zip : 22801-3517
Country : US
Telephone Number : 540-437-4226
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/17/2014
Last Update Date : 06/23/2016

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Directions to “ KRISTIN FLORA WENGER M.S. CCC-SLP” Practice Location

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