Regan Marie Wahlberg, M.S. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP4879 Issued in AZ

Practice address

1817 N 7TH St
Phoenix, AZ 85006-2133

Phone

(602) 538-5123

NPI assigned

May 21, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Phoenix Elementary School District #1

  • Local Education Agency (LEA)
  • Phoenix, AZ
  • NPI 1013046556
  NPD (past)
• Phoenix Elementary School District #1

  • School Social Worker
  • Phoenix, AZ
  • NPI 1750595914
  NPD (past)

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282089600000",
    "number": "1104035906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2628 E ANDERSON DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850322404",
            "telephone_number": "602-538-5123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1817 N 7TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850062133",
            "telephone_number": "602-538-5123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAHLBERG",
        "first_name": "REGAN",
        "middle_name": "MARIE",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-21",
        "last_updated": "2010-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "SLP4879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cara Wagoner, M.S.ED.
• Mark Wagoner, MD
• Mary Michele Wahbah, MD
• Garrett Evan Wahl, MD
• Priscilla Wahl
• Sue Ann Wahlers, D.C.
• Chad Wahlgren, PHARMD
• Deanna Wahlheim, LMFT
• Paul S Wahlheim, MD
• Magdalena Wahls, RN

• Speech-Language Pathologist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Speech-Language Pathologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2010; 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.