MARY ELLEN WAGNER (NPI# 1669622049) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669622049 |
| Entity Type | Individual |
| Full Name | MARY ELLEN WAGNER |
| Credential | MS.CCC/SLP |
| Practice Address |
8437 Northcote Ave Munster IN 46321-2023 |
| Practice Telephone | 2197815158 |
| Mailing Telephone | 2197815158 |
| Enumeration Date | 2008-09-23 |
| Last Update Date | 2008-09-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 22003330A | IN | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336753185 | Mary Elizabeth Wagner | Registered Nurse | 1804 Connemara Ln, Lafayette, IN 47905-7935 | 2020-08-31 |
| 1730462755 | Mary E Wagner | Durable Medical Equipment & Medical Supplies | 2549 Odaniel Rd, Seguin, TX 78155-1240 | 2011-09-26 |
| 1720361033 | Mary Elaine Wagner | Pharmacist | 1364 Westdale Ave, Winter Park, FL 32792-6059 | 2011-09-22 |
| 1518050731 | Mary Abigail Wagner | Counselor | 5569 Broadcast Ct, Lakewood Ranch, FL 34240-8472 | 2006-10-02 |
| 1043251358 | Mary Jo Wagner | Occupational Therapist | 54 Parramatta Rd, Beverly, MA 01915-1970 | 2006-06-09 |
| 1427040203 | Mary K. Wagner | Pediatrics | 1414 N Vercler Rd, Building 1, Spokane Valley, WA 99216-1092 | 2005-08-18 |
| 1497397616 | Mary Beth Wagner | Massage Therapist | 1400 Executive Pkwy Ste 220, Eugene, OR 97401-7109 | 2019-10-09 |
| 1144702606 | Mary Wagner | Occupational Therapist | 330 Waller Ave Ste 275, Lexington, KY 40504-2930 | 2018-08-31 |
| 1902329394 | Mary Elizabeth Wagner | Speech-Language Pathologist | 525 W Oakland Ave, Johnson City, TN 37604-1672 | 2017-07-18 |
| 1558896233 | Mary A. Wagner | Registered Nurse | 6460 Harrison Ave, Cincinnati, OH 45247 | 2017-05-01 |
| Street Address |
8437 NORTHCOTE AVE |
| City | MUNSTER |
| State | IN |
| Zip Code | 46321-2023 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154959179 | Munster Surgery Center LLC | Clinic/Center | 1950 45thstreet, Unit 101, Munster, IN 46321 | 2020-03-27 |
| 1467092668 | Barbara Armstrong-whitaker | Counselor | 8855 Columbia Ave, Munster, IN 46321 | 2020-01-15 |
| 1427537661 | Courtney Szydelko | Physical Therapist | 759 45th St Ste 202, Munster, IN 46321 | 2018-08-08 |
| 1407341787 | New Harvest Therapy Services, Inc. | Clinic/Center | 8124 Calumet Ave Ste B, Munster, IN 46321 | 2018-06-28 |
| 1043717945 | Region Eye Care LLC | Optometrist | 10413 Calumet Ave., Munster, IN 46321 | 2018-04-09 |
| 1003318122 | Jean M Nanos | Psychologist | 8124 Calumet Ave, Munster, IN 46321 | 2018-03-05 |
| 1841706330 | Avalon Marciniak | Speech-Language Pathologist | 1950 West 45th St., Munster, IN 46321 | 2017-12-19 |
| 1104330034 | Hinsdale Orthopaedic Associates, S.c. | Orthopaedic Surgery | 8141 S Calumet Ave, Unit 1, Munster, IN 46321 | 2017-11-30 |
| 1457871774 | Shannon Nicole Riley | Behavior Technician | 8113 Howard Ave., Munster, IN 46321 | 2017-06-27 |
| 1679017313 | Infomedica | Internal Medicine | 10010 Donald S Powers Dr, Munster, IN 46321 | 2016-12-15 |
| Find all providers in zip 46321 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841706330 | Avalon Marciniak | Speech-Language Pathologist | 1950 West 45th St., Munster, IN 46321 | 2017-12-19 |
| 1841699766 | Katie Persenaire | Speech-Language Pathologist | 7749 State Line Ave, Munster, IN 46321-1046 | 2014-08-15 |
| 1982834396 | Karen Kicho Sufana | Speech-Language Pathologist | 1137 Azalea Dr, Munster, IN 46321-3608 | 2009-07-20 |
| 1497979165 | Elaine Sandra Torabi | Speech-Language Pathologist | 567 Hickory Ln, Munster, IN 46321-2408 | 2007-04-12 |
| 1730704008 | Stephanie Gardner | Speech-Language Pathologist | 901 Macarthur Blvd, Munster, IN 46321-2901 | 2020-06-12 |
| 1295354678 | Savannah Jayne Kinsella | Speech-Language Pathologist | 9950 Calumet Ave, Munster, IN 46321-4028 | 2020-04-15 |
| 1275085425 | Stephanie Dagen | Speech-Language Pathologist | 901 Macarthur Blvd, Munster, IN 46321-2901 | 2016-11-03 |
| 1497900377 | Kelly Lynn Demory | Speech-Language Pathologist | 10234 Saint James Pl, Munster, IN 46321-4391 | 2008-11-19 |
| 1225205198 | Amanda Giglio | Speech-Language Pathologist | 10234 Saint James Pl, Munster, IN 46321-4391 | 2008-05-10 |
| 1316114283 | Kimberly Power | Speech-Language Pathologist | 10234 Saint James Pl, Munster, IN 46321-4391 | 2008-05-10 |
| Find all providers in MUNSTER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.