Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mary Ellen Wagner, MSCCC/SLP

Individual provider Speech-Language Pathologist · NPI 1669622049

Mary Ellen Wagner, MSCCC/SLP is a Speech-Language Pathologist in Munster, Indiana. Practices as a sole proprietor. Licensed in Indiana.

Licensed in
IN
In the registry since
2008
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Practice location Address checks out

8437 Northcote Ave
Munster, IN 46321-2023
Phone: (219) 781-5158
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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 22003330A (IN)

Record details

NPI number1669622049
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSCCC/SLP
Sole proprietorYes
NPI enumeratedSeptember 23, 2008
Last updated in NPPESSeptember 23, 2008

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