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

Individual provider Speech-Language Pathologist · NPI 1144501446

Miss. Marita Loane Wagner, CCC-SLP is a Speech-Language Pathologist in Philadelphia, Pennsylvania. Practices as a sole proprietor. Licensed in Pennsylvania.

Licensed in
PA
In the registry since
2011
What do these letters mean?
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

114 W Allens Ln
Philadelphia, PA 19119-4102
Phone: (215) 247-4034
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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 SL002107L (PA)

Record details

NPI number1144501446
Entity typeIndividual (Type 1)
GenderFemale
Credentials CCC-SLP
Sole proprietorYes
NPI enumeratedAugust 31, 2011
Last updated in NPPESAugust 31, 2011

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