Jennifer Wagner, Ma, Ccc-Slp: Pediatric Speech And Language Services
Speech-Language Pathologist, in Seattle, WA. Organization (NPI-2).
NPI number1710697099
StatusActive
Last updated in NPPESNov 28, 2022
Details
- NPI
- 1710697099
- Entity type
- Organization (NPI-2)
- Legal business name
- Jennifer Wagner, Ma, Ccc-Slp: Pediatric Speech And Language Services
- Organization subpart
- No
- Enumeration date
- Nov 28, 2022
- Certification date
- Nov 28, 2022
- Last updated
- Nov 28, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | – | – | Yes |
Practice location
3417 Evanston Ave N Ste 311Seattle, WA 98103-8967
Phone 206-227-7199
Mailing address
3417 Evanston Ave N Ste 311Seattle, WA 98103-8967
Phone 206-227-7199
Other practice locations
180 Nickerson St Ste 108
Seattle, WA 98109-1631
Seattle, WA 98109-1631
Phone 206-227-7199
Authorized official
Jennifer Wagner
Owner
2062277199
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