Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ellen Wegener, MSCCCSLP

Individual provider Speech-Language Pathologist · NPI 1366172199

Ellen Wegener, MSCCCSLP is a Speech-Language Pathologist in Grand Rapids, Michigan. Licensed in Florida. Registered with an NPI since 2022.

Licensed in
FL
In the registry since
2022

Practice location Address checks out

4467 Byron Center Ave SW
Grand Rapids, MI 49519-4808
Phone: (616) 552-9544
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence SA21384 (FL)

Record details

NPI number1366172199
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSCCCSLP
Sole proprietorNo
NPI enumeratedJune 14, 2022
Last updated in NPPESApril 3, 2024
Certification dateApril 3, 2024
Mailing address150 Mayfield Ave Ne, Grand Rapids, MI 49503-3767

Other providers in Grand Rapids