MRS. ELLEN VAN WAGENER, MCD, CCC-SLP

Speech-Language Pathologist

Active Individual
NPI: 1821387804

Practice Address

36515 MANCHAC TRACE AVE
Prairieville, LA 70769

Phone: (225) 333-0685

Specialties

Specialty Code Primary License
Speech-Language Pathologist 235Z00000X Yes 4776 (LA)

Frequently Asked Questions

NPI 1821387804 is the National Provider Identifier for MRS. ELLEN VAN WAGENER, MCD, CCC-SLP, a Speech-Language Pathologist provider located in Prairieville, LA. This NPI was enumerated on March 30, 2011.
MRS. ELLEN VAN WAGENER, MCD, CCC-SLP practices at 36515 MANCHAC TRACE AVE, Prairieville, LA 70769.

Quick Facts

NPI
1821387804
Type
Individual
Enumerated
Mar 30, 2011
Last Updated
Mar 30, 2011

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