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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JACQUELYN WAGNER, MS CCC-SLP

Active

JACQUELYN WAGNER, MS CCC-SLP is a Speech, Language and Hearing Specialist healthcare provider located in MILWAUKEE, Wisconsin. NPI 1134290935 is currently active in the NPPES registry. Verify at CMS.

Speech, Language and Hearing Specialist · MILWAUKEE, WI

Registration Details

NPI Number
1134290935
Provider Type
Individual
Gender
Female
NPI Issued
Nov 13, 2006 (19.74734553151 yrs)
Last Updated
Sep 18, 2008
Licenses
242.000217 (IL)
2978154 (WI)

Practice Information

Address
833 N 26TH ST
MILWAUKEE, WI, 532331507
Browse WI providers · Browse ZIP 53233
Phone
4143447676
Primary Specialty
Speech, Language and Hearing Specialist
235Z00000X

Other Speech, Language and Hearing Specialist Providers in MILWAUKEE, WI

Name Credential NPI
ERIC T DECKER SLP 1578540803
KERRY B FREDERICK SLP 1699752675
LYNN T BARTOS SLP 1841277738
JILL R FREESE SLP 1386621274
MS. PATTI J CIRILLI MS CCC 1558324806
AMANDA DOBBERSTEIN SLP 1952367021
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.