1. Home
  2. Directory
  3. Minnesota
  4. Plymouth
  5. Speech Language Pathologist
  6. NPI Profile

MRS. MARY ELIZABETH HAGEN MA/CCC SLP
NPI 1629014378
Speech-Language Pathologist in Plymouth, MN

Active since June 21, 2006
5480 NATHAN LN N, SUITE 140, PLYMOUTH, MN 55442(763) 607-4440(763) 553-2933 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Mary Elizabeth Hagen Ma/ccc Slp NPPES

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

MRS. MARY ELIZABETH HAGEN MA/CCC SLP (NPI 1629014378) is an individual speech-language pathologist provider in Plymouth, Minnesota, licensed in Minnesota (5043) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1629014378
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameMRS. MARY ELIZABETH HAGENCredential: MA/CCC SLP
Location Address5480 NATHAN LN N, SUITE 140Plymouth, MN 55442-1997
Mailing Address10715 39th Ave NPlymouth, MN 55441-1412 · (763) 607-4440 · Fax (763) 553-2933
Phone(763) 607-4440
Fax(763) 553-2933
Sole ProprietorYes
Enumeration DateJune 21, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1629014378 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 MN · 5043
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.
5480 NATHAN LN N, Plymouth, MN 55442
Open in Google Maps ↗

Other Identifiers 2

Other46-00932MN · Medica
Other318R0HAMN · Blue Cross Blue Shield

Other Providers at the Same Location NPPES

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

MRS. STACEY MARIE OHUMUKINI OTR/L
Occupational Therapist
5480 NATHAN LN N, STE 140
PLYMOUTH, MN 55442
Hennepin County (612) 597-2975

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 Mary Hagen's NPI number?

The NPI number for Mary Hagen is 1629014378. It was assigned to this individual provider in the NPPES registry on June 21, 2006.

Where is Mary Hagen located?

Mary Hagen practices at 5480 Nathan Ln N Suite 140, Plymouth, MN 55442. The listed phone number is (763) 607-4440.

What is Mary Hagen'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 Mary Hagen was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.