Mary Ellen Wagner MS.CCC/SLP

NPI 1669622049 - Speech-Language Pathologist - 235Z00000X

NPI Details
NPI 1669622049
Gender Female
Enumeration Date 09/23/2008
Last Updated 09/23/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
8437 NORTHCOTE AVE
MUNSTER IN, 46321-2023, US
Phone (219) 781-5158
Fax
Business Location
8437 NORTHCOTE AVE
MUNSTER IN, 46321-2023, US
Phone (219) 781-5158
Fax
Toxanomy
Taxonomy Code 235Z00000X
License State Indiana
License Number 22003330A
Remove 1669622049 NPI Number
 

According to our database, Mary Ellen Wagner MS.CCC/SLP NPI is 1669622049, taxonomy code is 235Z00000X and license number is 22003330A, license state is located at Indiana. Mary Ellen Wagner MS.CCC/SLP physically located at 8437 Northcote Ave, Munster IN, 46321-2023. NPI Number Mary Ellen Wagner MS.CCC/SLP has the Individual type.

Sponsored links

1669622049 NPI number is provided on an as is basis without warranty of any kind. 1669622049 is maintained by the National Plan & Provider Enumeration System. The contents of Mary Ellen Wagner MS.CCC/SLP are for informational purposes only.