Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1871832691 Individual Practitioner Female Practitioner

Shannon Wagner , MA, CCC-SLP

Speech-Language Pathologist • San Ramon, CA

Professional Overview & Biography Verified Profile Summary

Shannon Wagner, MA, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in San Ramon, CA. Practice services are available at 125 RYAN INDUSTRIAL CT under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

125 Ryan Industrial Ct

San Ramon, CA 945831772

Telephone 9258559810

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in San Ramon, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 39.0 Yrs
State Avg: 14.3 Yrs
Regional Practice Density
63 Specialists

Practicing in San Ramon, CA (13280 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

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License CA 20207

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

8 Associated Practitioners
Karen Williams

Occupational Therapist - Pediatrics

NPI 1033432158
Rachel Shimer-Lal , MOT, OTR, L

Occupational Therapist - Pediatrics

NPI 1093049231

Master of Occupational Therapy, Occupational Therapist Registered, L

Minnie Chan , OTR, L

Occupational Therapist

NPI 1255754818

Occupational Therapist Registered, L

Sara Martin , MS, CCC-SLP

Speech-Language Pathologist

NPI 1316294606

Master of Science, Speech-Language Pathologist (Certificate of Clinical Competence)

Jenna Lowry , MS, OTR, L

Occupational Therapist - Pediatrics

NPI 1518233246

Master of Science, Occupational Therapist Registered, L

Sharmeen Khan , OTR, L

Occupational Therapist - Pediatrics

NPI 1578799359

Occupational Therapist Registered, L

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active February 14, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location February 14, 2013

Registered at 125 RYAN INDUSTRIAL CT, SAN RAMON, CA 945831772 (Tel: 9258559810)

📍
Updated Business Mailing Address February 14, 2013

Registered at 135 JENNIFER CT, ALAMO, CA 945071261

👤
Provider Name / Credentials Updated February 14, 2013

Recorded as SHANNON WAGNER, M.A, CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 14, 2013

Speech-Language Pathologist (License #20207 in CA)

🟢
Initial NPI Registration & Enumeration February 14, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1871832691
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 14, 2013
Last Update: February 14, 2013
Sole Proprietor: No

Mailing Address

135 Jennifer Ct

Alamo, CA 945071261

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

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