Search › Louisiana › 235Z00000X
Ellen Van Wagener, MCD, CCC-SLP
NPI 1821387804 · on the registry since 2011
Practice
- Address
- 36515 Manchac Trace Ave
Prairieville, LA 70769 - Phone
- (225) 333-0685
Registry record
- Primary taxonomy
- 235Z00000X
235Z00000X
- Licence states on file
- LA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2011-03-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana