Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Elise Melanie Wagner, MS, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1215173729

Elise Melanie Wagner, MS, CCC-SLP is a Speech-Language Pathologist in New York, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2009
What do these letters mean?
MS — Master of Science
A graduate science degree.
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

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Practice location Address checks out

333 E 41st St #1D
New York, NY 10017-5956 Not confirmed with CMS for 17 years — call before visiting
Phone: (212) 972-3691
Fax: (212) 678-3718
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 011331-1 (NY)

Record details

NPI number1215173729
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , CCC-SLP
Sole proprietorYes
NPI enumeratedJanuary 5, 2009
Last updated in NPPESJanuary 5, 2009

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