| Karisa Wagenman, MSED, CCC-SLP | |
| 
					14 Old Bridge Tpke, South River, NJ 08882-2496  | |
| (732) 698-8786 | |
| Not Available | 
| Full Name | Karisa Wagenman | 
|---|---|
| Gender | Female | 
| Speciality | Speech-language Pathologist | 
| Location | 14 Old Bridge Tpke, South River, New Jersey | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1215541602 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 41YS01039600 (New Jersey) | Primary | 
| Provider Name | Midstate Therapy Associates Llc | 
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice | 
| Provider Identifiers | NPI Number: 1568672913 PECOS PAC ID: 4284882705 Enrollment ID: O20120907000015  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Karisa Wagenman, MSED, CCC-SLP 33 Old Queens Blvd, Manalapan, NJ 07726-3641 Ph: (908) 839-0278  | Karisa Wagenman, MSED, CCC-SLP 14 Old Bridge Tpke, South River, NJ 08882-2496 Ph: (732) 698-8786  | 
Mrs. Theresa Ann Gabler, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2 Colin Dr, South River, NJ 08882 Phone: 732-238-0622  | |
Speech And Reading Academy, Llc Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 8 Old Bridge Tpke, South River, NJ 08882 Phone: 732-698-8766  | |
Mina Syed,  Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 14 Old Bridge Tpke, South River, NJ 08882 Phone: 732-698-8766  |