Amalya Wagner, M.A. CCC-SLP
NPI #1295118735 in Morton Grove, Illinois
Provider Information
- NPI Number
- 1295118735
- Entity Type
- Individual
- Name
- Amalya Wagner, M.A. CCC-SLP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Speech-Language Pathologist
- Credential
- M.A. CCC-SLP
- Enumeration Date
- Jul 1, 2015
- Last Updated
- Jul 1, 2015
Practice Location
- Address
- 9526 SHERMER RD
- City
- Morton Grove
- State
- Illinois
- ZIP Code
- 60053-1167
- Phone
- (847) 208-8744
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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