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Krista Waggoner, CCC-SLP
Speech-Language Pathologist in Palm Coast, Florida
NPI 1346760170

Krista Waggoner is a Speech-Language Pathologist based in Lavon, FL. Krista Waggoner practices in Palm Coast, FL and has the professional credentials of CCC-SLP. The NPI Number for Krista Waggoner is 1346760170 and holds a License No. 117777 (Florida).

The current practice location address for Krista Waggoner is 4875 Palm Coast Pkwy Nw Unit 2, Palm Coast, FL and can be reached out via phone at 386-446-9935 and via fax at 386-446-7777.

Location: 4875 Palm Coast Pkwy Nw Unit 2, Palm Coast, FL, 75166-4700
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1346760170
Provider Name
Krista Waggoner
Credential
CCC-SLP
Provider Entity Type
Individual
Gender
Female
Address
4875 Palm Coast Pkwy Nw Unit 2, Palm Coast, FL, 75166-4700
Phone Number
386-446-9935
Fax Number
386-446-7777
Provider Enumeration Date
06/22/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
SA16585 01 FL FLORIDA HEALTHCARE PRACTIONER LICENSE
SZ8087 01 FL FLORIDA HEALTHCARE PRACTIONER LICENSE
117777 01 TX TEXAS SPEECH-LANGUAGE PATHOLOGIST LICENSE
institution
Provider Business Practice Location Address Details
Address
4875 Palm Coast Pkwy Nw Unit 2
City
Palm Coast
State
Florida
Zip
32137-3671
Phone Number
386-446-9935
Fax Number
386-446-7777
person
Provider Business Mailing Address Details
Address
4875 Palm Coast Pkwy Nw Unit 2
City
Palm Coast
State
Florida
Zip
32137-3671
Phone Number
386-446-9935
Fax Number
386-446-7777
person
Provider's Taxonomy Details 1
Type
Speech, Language and Hearing Service Providers
Classification
Speech-Language Pathologist
Speciality
-
Taxonomy
235Z00000X
License No.
117777 (Texas)
Definition
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.
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