Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ELYSE WAHLQUIST VAN WAGENEN, MA CCC SLP
ActiveELYSE WAHLQUIST VAN WAGENEN, MA CCC SLP is a Speech, Language and Hearing Specialist healthcare provider located in BRISTOL, Florida. NPI 1346807476 is currently active in the NPPES registry. Verify at CMS.
Speech, Language and Hearing Specialist · BRISTOL, FL
Registration Details
- NPI Number
- 1346807476
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 23, 2019 (7.1990136460702 yrs)
- Last Updated
- Dec 2, 2024
- Licenses
-
SLPCF000042 (DC)SA17587 (FL)
Practice Information
- Address
-
11287 NW STATE ROAD 20BRISTOL, FL, 323213414Browse FL providers · Browse ZIP 32321
- Phone
- 8506944420
- Primary Specialty
-
Speech, Language and Hearing Specialist
235Z00000X
- Additional Specialty
- Speech, Language and Hearing Specialist
Other Speech, Language and Hearing Specialist Providers in BRISTOL, FL
| Name | Credential | NPI |
|---|---|---|
| MRS. JORDAN SIMS WAHLQUIST | M.S. | 1457665820 |
| HAMMADAH TALIB WAHLQUIST | — | 1346714383 |
| BRITT JEPPSON DAY | MS, CCC-SLP | 1205550555 |
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.