Active NPIIndividual providerSole proprietor

Penina Wagshall

Speech-Language Pathologist, in Waterbury, Connecticut

NPI Number1962040766
Practice location
129 Farmington Ave, Waterbury, CT 06710-1739
Fax
—
Last updated
January 16, 2025

Penina Wagshall is a Speech-Language Pathologist, based in Waterbury, CT. Penina Wagshall practices in Waterbury, CT. The NPI Number for Penina Wagshall is 1962040766 and holds a License No. 7894 (CT). The current practice location address for Penina Wagshall is 129 Farmington Ave, Waterbury, CT 06710-1739 and can be reached out via phone at 347-756-0707.

Provider Profile Details

NPI Number
1962040766
Provider Name
Penina Wagshall
Provider Entity Type
Individual
Gender
Female
Address
129 Farmington Ave, Waterbury, CT 06710-1739
Phone Number
347-756-0707
Primary Taxonomy
Speech-Language Pathologist, · 235Z00000X
Sole Proprietor
Yes
Other Names
Penina Martin (Professional Name)
Provider Enumeration Date
December 12, 2019
Last Update Date
January 16, 2025
Certification Date
January 16, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
129 Farmington Ave
Waterbury, CT 06710-1739
Zip
06710-1739
Phone Number
347-756-0707
Waterbury, CT 06710Get directions →

Provider Business Mailing Address Details

Address
129 Farmington Ave
Waterbury, CT 06710-1739
City
Waterbury
State
CT
Zip
06710-1739
Phone Number
347-756-0707

License Information

Taxonomy (1)
Specialist · 174400000X
License Number (2)
7894
License State (2)
CT
Taxonomy (2)
Speech-Language Pathologist, · 235Z00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Speech-Language Pathologist, providers near Waterbury, CT

View all Speech-Language Pathologist, providers in Waterbury →

Frequently Asked Questions

What is the NPI number of Penina Wagshall?

The NPI number of Penina Wagshall is 1962040766. It was assigned on December 12, 2019 and is currently active in the NPPES registry.

What is the specialty of Penina Wagshall?

Penina Wagshall is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in CT under license number 7894.

Where does Penina Wagshall practice?

The practice location is 129 Farmington Ave, Waterbury, CT 06710-1739. The office can be reached at 347-756-0707 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1962040766 directly on the NPPES registry website.

Browse related providers