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

Individual provider Speech-Language Pathologist · NPI 1902329394

Mrs. Mary Elizabeth Wagner, MS, CCC-SLP is a Speech-Language Pathologist in Johnson City, Tennessee. Registered with an NPI since 2017.

In the registry since
2017
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

525 W Oakland Ave
Johnson City, TN 37604-1672
Phone: (423) 383-8470
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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

Record details

NPI number1902329394
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , CCC-SLP
Sole proprietorNo
NPI enumeratedJuly 18, 2017
Last updated in NPPESJuly 21, 2022

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