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

Mrs. Mary Elizabeth Hagen, MA/CCCSLP

Individual provider Speech-Language Pathologist · NPI 1629014378

Mrs. Mary Elizabeth Hagen, MA/CCCSLP is a Speech-Language Pathologist in Plymouth, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2006

Practice location Address checks out

5480 Nathan Ln N Ste 140
Plymouth, MN 55442-1997
Phone: (763) 607-4440
Fax: (763) 553-2933
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 5043 (MN)

Record details

NPI number1629014378
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA/CCCSLP
Sole proprietorYes
NPI enumeratedJune 21, 2006
Last updated in NPPESJuly 8, 2007

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