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Active NPI 1487139242 Individual Practitioner Female Practitioner

Stephanie Wagner , MS CCC-SLP

Speech-Language Pathologist • Flagstaff, AZ

Professional Overview & Biography Verified Profile Summary

Stephanie Wagner, MS CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Flagstaff, AZ. Practice services are available at 2532 N. FOURTH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2532 N. Fourth St
#481

Flagstaff, AZ 860048600

Telephone 9282261563
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Flagstaff, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 21.6 Yrs
State Avg: 14.3 Yrs
Regional Practice Density
133 Specialists

Practicing in Flagstaff, AZ (4584 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-12-04
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License AZ SLP11394

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

17 Associated Practitioners
Dakota Penrod , SLPA

Specialist/Technologist - Speech-Language Assistant

NPI 1033958053

Speech-Language Pathology Assistant

Elisa Soto

Speech-Language Pathologist

NPI 1043585508
Samantha Valdes , SLPA

Specialist/Technologist - Speech-Language Assistant

NPI 1104698018

Speech-Language Pathology Assistant

Abby Vines

Speech-Language Pathologist

NPI 1184590929
Karina Marquez , SLPA

Specialist/Technologist - Speech-Language Assistant

NPI 1225796907

Speech-Language Pathology Assistant

Kimberly Farinella , CCC-SLP

Speech-Language Pathologist

NPI 1366631186

Speech-Language Pathologist (Certificate of Clinical Competence)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Business Mailing Address December 04, 2025

Registered at 12234 MENSA CT, BELLEMONT, AZ 860155097

👤
Provider Name / Credentials Updated December 04, 2025

Recorded as STEPHANIE WAGNER, M.S. CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 04, 2025

Speech-Language Pathologist (License #SLP11394 in AZ)

NPI Profile Active September 27, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location September 27, 2018

Registered at 2532 N. FOURTH ST, #481, FLAGSTAFF, AZ 860048600 (Tel: 9282261563)

📍
Updated Business Mailing Address September 27, 2018

Registered at 3360 S MOORE CIR, FLAGSTAFF, AZ 860058500 (Tel: 9282261563)

👤
Provider Name / Credentials Updated September 27, 2018

Recorded as STEPHANIE STAWISKY, B.S., SLP-A

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 27, 2018

Specialist/Technologist (License #SLPA11394 in AZ)

🟢
Initial NPI Registration & Enumeration September 27, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1487139242
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 27, 2018
Last Update: December 04, 2025
Sole Proprietor: No

Mailing Address

12234 Mensa Ct

Bellemont, AZ 860155097

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.