Donna Wagner, CCC-SLP
NPI #1437271590 in Lake Forest, Illinois
Provider Information
- NPI Number
- 1437271590
- Entity Type
- Individual
- Name
- Donna Wagner, CCC-SLP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Speech-Language Pathologist
- Credential
- CCC-SLP
- Enumeration Date
- Apr 6, 2007
- Last Updated
- Mar 18, 2010
Practice Location
- Address
- 660 N WESTMORELAND RD
- City
- Lake Forest
- State
- Illinois
- ZIP Code
- 60045-1659
- Phone
- (847) 535-8962
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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