Individual provider · Type 1 NPI

Jacqueline Wagner, M.S., CCC-SLP/L

Speech-Language Pathologist · Chicago, IL

NPI number 1104131648 Active

Practice location

1640 N Wells St, Suite 103
Chicago, IL 60614-6087

Call (312) 642-4300 Map

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist Primary 235Z00000X146009849 (IL)

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 1104131648

Jacqueline Wagner, M.S., CCC-SLP/L's National Provider Identifier is 1104131648, issued on Aug 9, 2010. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Chicago, IL. The record was last updated on Aug 9, 2010.