Wagener, Jeanie

Wagener, Jeanie is an individual health care provider with primary practice located at 1010 Washington St , Vancouver WA 98660-3167. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Wagener, Jeanie can be contacted via phone (360) 699-6374.

Contact Information

Primary practice address
1010 Washington St Vancouver WA 98660-3167
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X LL00001505 Washington

Profile Details

NPI number 1053302299
LBN Legal business name Wagener, Jeanie
Credentials MS, CCC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 4th, 2005
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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