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

ELYSE WAHLQUIST VAN WAGENEN, MA CCC SLP

Active

ELYSE 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 20
BRISTOL, FL, 323213414
Browse FL providers · Browse ZIP 32321
Phone
8506944420
Primary Specialty
Speech, Language and Hearing Specialist
235Z00000X

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.