Individual
MRS. JAIME VICTORIA WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
550 PINETOWN RD STE 260, FORT WASHINGTON, PA 19034-2614
(445) 236-0134
(267) 285-2376
Mailing address
1626 SULLIVAN DR, BLUE BELL, PA 19422-3623
(215) 208-1660
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
O1-0001197
DE
235Z00000X
Speech-Language Pathologist
Primary
SL010314
PA
Other
Enumeration date
09/13/2016
Last updated
06/17/2026
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