Provider Demographics
NPI:1982323143
Name:WAGNER, VALERIE HAMMEL
Entity Type:Individual
Prefix:
First Name:VALERIE
Middle Name:HAMMEL
Last Name:WAGNER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1138 BASIN RD
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19382-5662
Mailing Address - Country:US
Mailing Address - Phone:610-304-6503
Mailing Address - Fax:
Practice Address - Street 1:800 N BROWNLEAF RD
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19713-3317
Practice Address - Country:US
Practice Address - Phone:302-454-2464
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-23
Last Update Date:2022-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist