Joanna M Bagg, M.A.
Individual provider Active NPI Speech-Language Pathologist · Fort White, FL
NPI 1982840583 · NPPES record last updated May 19, 2015
Key facts
- NPI
- 1982840583
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- Practice address
- 655 SW Pathfinder GLN
Fort White, FL 32038-8003 - Phone
- (352) 301-9035
- NPI assigned
- Jan 2, 2009
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Arts
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | FL | Yes |
Addresses
Primary practice location
655 SW Pathfinder GLN
Fort White, FL 32038-8003
Mailing address
655 SW Pathfinder GLN
Fort White, FL 32038-8003
Phone (352) 301-9035
Other providers in Fort White, FL
- Andrea H. Alfonzo
- Tana Andrews
- Cathi N Brown
- Care Station, LLC
- Caring Wheels Transportation LLC
- Sarah Louise Clark
- Columbia Family Medicine
All providers in Fort White, FL · Speech-Language Pathologist in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 19, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.