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ELLEN WEGENER M.S. CCC SLP
NPI 1366172199
Speech-Language Pathologist in Grand Rapids, MI

Active since June 14, 2022
4467 BYRON CENTER AVE SW, GRAND RAPIDS, MI 49519(616) 552-9544 Get Directions Write a Review

NPPES record last updated: April 3, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ellen Wegener M.s. Ccc Slp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELLEN WEGENER M.S. CCC SLP (NPI 1366172199) is an individual speech-language pathologist provider in Grand Rapids, Michigan, licensed in Florida (SA21384) and active in the NPI registry since June 2022.

NPPES Registry Identity

NPI1366172199
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameELLEN WEGENERCredential: M.S. CCC SLP
Location Address4467 BYRON CENTER AVE SWGrand Rapids, MI 49519-4808
Mailing Address150 Mayfield Ave NeGrand Rapids, MI 49503-3767 · (248) 860-6895
Phone(616) 552-9544
Sole ProprietorNo
Enumeration DateJune 14, 2022
Last NPPES UpdateApril 3, 2024
NPPES CertifiedApril 3, 2024
✔ NPI 1366172199 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in FL · SA21384
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
4467 BYRON CENTER AVE SW, Grand Rapids, MI 49519
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Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EMILY CATHERINE DEMERS MS, OTRL
Occupational Therapist
4467 BYRON CENTER AVE SW
GRAND RAPIDS, MI 49519
Kent County (616) 552-9544
SOUTH KENT VISION CENTER PC
Optometrist
4467 BYRON CENTER AVE SW
WYOMING, MI 49519
Kent County (616) 534-4953
DR. ROBERT ARTHUR HOHENDORF O.D.
Optometrist (Vision Therapy)
4467 BYRON CENTER AVE SW
WYOMING, MI 49519
Kent County (616) 534-4393
RANDY MARTIN HOEKSTRA
Behavior Analyst
4467 BYRON CENTER AVE SW
WYOMING, MI 49519
Kent County (616) 552-9544
JANELLE MARIE SHULER PT, DPT
Physical Therapist
4467 BYRON CENTER AVE SW
GRAND RAPIDS, MI 49519
Kent County (616) 552-9544
LYDIA SUTTON NP
Nurse Practitioner
4467 BYRON CENTER AVE SW
WYOMING, MI 49519
Kent County (616) 363-7867
COLLEEN CONNORS OTR/L
Occupational Therapist
4467 BYRON CENTER AVE SW
WYOMING, MI 49519
Kent County (616) 552-9544
LYNNETTE GAY DOARNBERGER O.D.
Optometrist (Vision Therapy)
4467 BYRON CENTER AVE SW
WYOMING, MI 49519
Kent County (616) 534-4953

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ellen Wegener's NPI number?

The NPI number for Ellen Wegener is 1366172199. It was assigned to this individual provider in the NPPES registry on June 14, 2022.

Where is Ellen Wegener located?

Ellen Wegener practices at 4467 Byron Center Ave SW, Grand Rapids, MI 49519. The listed phone number is (616) 552-9544.

What is Ellen Wegener's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

When was this NPI record last updated?

The NPPES record for Ellen Wegener was last updated on April 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.