Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Kathrine Ann Wagner Van Gammeren, SLP

Individual provider Speech-Language Pathologist · NPI 1043128069

Kathrine Ann Wagner Van Gammeren, SLP is a Speech-Language Pathologist in Lackawanna, New York. Licensed in New York. Registered with an NPI since 2026.

Licensed in
NY
In the registry since
2026
What do these letters mean?
SLP — Speech-Language Pathologist
Treats speech, language and swallowing disorders.

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Practice location Address checks out

650 Ridge Rd
Lackawanna, NY 14218-1435
Phone: (716) 828-9500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 031638 (NY)

Record details

NPI number1043128069
Entity typeIndividual (Type 1)
GenderFemale
Credentials SLP
Sole proprietorNo
NPI enumeratedAugust 31, 2026
Last updated in NPPESAugust 31, 2026
Certification dateAugust 31, 2026

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