Individual
MRS. LORRIE WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
4803 S 7TH ST, TERRE HAUTE, IN 47802-4565
(812) 269-5038
Mailing address
90 HOWARD DR, SHELBYVILLE, KY 40065-8138
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22008399A
IN
Other
Enumeration date
08/22/2024
Last updated
06/09/2026
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