Jay A. Wagner M.S. CCC-SLP

NPI 1033483300 - Speech-Language Pathologist - 235Z00000X

NPI Details
NPI 1033483300
Gender Male
Enumeration Date 03/03/2012
Last Updated 03/03/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
1830 BUTERBAUGH RD
CHERRY TREE PA, 15724-9746, US
Phone (724) 309-1030
Fax
Business Location
1830 BUTERBAUGH RD
CHERRY TREE PA, 15724-9746, US
Phone (724) 309-1030
Fax
Toxanomy
Taxonomy Code 235Z00000X
License State Pennsylvania
License Number SL006248L
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According to our database, Mr. Jay A. Wagner M.S. CCC-SLP NPI is 1033483300, taxonomy code is 235Z00000X and license number is SL006248L, license state is located at Pennsylvania. Jay A. Wagner M.S. CCC-SLP physically located at 1830 Buterbaugh Rd, Cherry Tree PA, 15724-9746. NPI Number Jay A. Wagner M.S. CCC-SLP has the Individual type.

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1033483300 NPI number is provided on an as is basis without warranty of any kind. 1033483300 is maintained by the National Plan & Provider Enumeration System. The contents of Jay A. Wagner M.S. CCC-SLP are for informational purposes only.