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

Individual provider Speech-Language Pathologist · NPI 1053302299

MS. Jeanie Wagener, MS, CCC is a Speech-Language Pathologist in Vancouver, Washington. Licensed in Washington. Registered with an NPI since 2005.

Licensed in
WA
In the registry since
2005
What do these letters mean?
MS — Master of Science
A graduate science degree.

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Practice location Address checks out

1010 Washington St
Vancouver, WA 98660-3167
Phone: (360) 699-6374
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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 LL00001505 (WA)

Record details

NPI number1053302299
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , CCC
Sole proprietorNo
NPI enumeratedNovember 4, 2005
Last updated in NPPESJuly 13, 2026

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