Laura Reahann Wedge, M.S, ED

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

1237083 Issued in NY

Practice address

2167 Balmer Rd
Ransomville, NY 14131-9785

Phone

(716) 531-1293

Fax

(716) 297-0998

NPI assigned

Jul 10, 2009

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1247184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554940800000",
    "number": "1093944068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2167 BALMER RD",
            "city": "RANSOMVILLE",
            "state": "NY",
            "postal_code": "141319785",
            "telephone_number": "716-531-1293",
            "fax_number": "716-297-0998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2167 BALMER RD",
            "city": "RANSOMVILLE",
            "state": "NY",
            "postal_code": "141319785",
            "telephone_number": "716-531-1293",
            "fax_number": "716-297-0998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEDGE",
        "first_name": "LAURA",
        "middle_name": "REAHANN",
        "name_prefix": "Ms.",
        "credential": "M.S, ED",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-10",
        "last_updated": "2019-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "1237083",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS LICENSE",
            "identifier": "1237083",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Darina Marie Shaw
• Isabella Sophia Vukas
• Mary Margaret Weiler, MD
• Willcare
• Danny Zyskind

• Speech-Language Pathologist in Ransomville, NY
• Providers in Ransomville, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.