Diana Wachsberger, ST

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP.10263 Issued in OH

Practice address

7620 Southern Blvd
Ste 3
Boardman, OH 44512-5667

Phone

(330) 955-9330

Fax

(330) 965-9308

NPI assigned

Mar 16, 2016

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)

Enrolled

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.

• Southwoods Rehabilitation LLC

  • Special Hospital
  • Boardman, OH
  • NPI 1528477288

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1458086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458086400000",
    "number": "1386005544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7620 SOUTHERN BLVD",
            "address_2": "STE 3",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445125667",
            "telephone_number": "330-955-9330",
            "fax_number": "330-965-9308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7620 SOUTHERN BLVD",
            "address_2": "STE 3",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445125667",
            "telephone_number": "330-955-9330",
            "fax_number": "330-965-9308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WACHSBERGER",
        "first_name": "DIANA",
        "credential": "ST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-16",
        "last_updated": "2016-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP.10263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vpa PC
• Vpa PC
• Vpa PC
• Vrable V, Inc.
• Lindsay Vrancich
• Samantha Rose Wagner, LISW
• Adrian Waldron
• Walgreen Co
• Adlan Walker
• Christina Brooke Walker, D.O.

• Speech-Language Pathologist in Boardman, OH
• Providers in Boardman, OH by specialty
• Speech-Language Pathologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2016; 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.