Individual provider · Type 1 NPI

Mary Elizabeth Hagen, MA/CCC SLP

Speech-Language Pathologist · Plymouth, MN

NPI number 1629014378 Active

Practice location

5480 Nathan Ln N, Suite 140
Plymouth, MN 55442-1997

Call (763) 607-4440 Map

Fax (763) 553-2933

Mailing address

10715 39th Ave N
Plymouth, MN 55441-1412

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist Primary 235Z00000X5043 (MN)

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 1629014378

Mary Elizabeth Hagen, MA/CCC SLP's National Provider Identifier is 1629014378, issued on Jun 21, 2006. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Plymouth, MN. The record was last updated on Jul 8, 2007.