Provider Demographics
NPI:1194531962
Name:WRIGLEY, PAIGE (MA, CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:PAIGE
Middle Name:
Last Name:WRIGLEY
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:202 WALNUT ST
Mailing Address - Street 2:
Mailing Address - City:MONT CLARE
Mailing Address - State:PA
Mailing Address - Zip Code:19453-5076
Mailing Address - Country:US
Mailing Address - Phone:610-301-2247
Mailing Address - Fax:
Practice Address - Street 1:920 GERMANTOWN PIKE
Practice Address - Street 2:
Practice Address - City:PLYMOUTH MEETING
Practice Address - State:PA
Practice Address - Zip Code:19462-7401
Practice Address - Country:US
Practice Address - Phone:215-344-2044
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-06
Last Update Date:2024-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL018097235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist