MR. Jay A. Wagner, M.S. CCC-SLP
NPI #1033483300 in Cherry Tree, Pennsylvania
Provider Information
- NPI Number
- 1033483300
- Entity Type
- Individual
- Name
- MR. Jay A. Wagner, M.S. CCC-SLP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Speech-Language Pathologist
- Credential
- M.S. CCC-SLP
- Enumeration Date
- Mar 3, 2012
- Last Updated
- Mar 3, 2012
Practice Location
- Address
- 1830 BUTERBAUGH RD
- City
- Cherry Tree
- State
- Pennsylvania
- ZIP Code
- 15724-9746
- Phone
- (724) 309-1030
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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