Individual provider · Type 1 NPI

Jeanie Wagener, MS, CCC

Speech-Language Pathologist · Vancouver, WA

NPI number 1053302299 Active

Practice location

1010 Washington St
Vancouver, WA 98660-3167

Call (360) 699-6374 Map

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist Primary 235Z00000XLL00001505 (WA)

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, resonan…

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About NPI 1053302299

Jeanie Wagener, MS, CCC's National Provider Identifier is 1053302299, issued on Nov 4, 2005. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Vancouver, WA. The record was last updated on Jul 13, 2026.