MRS. MARY ELIZABETH HAGEN (MA/CCC SLP) – Speech-Language Pathologist, NPI 1629014378

MRS. MARY ELIZABETH HAGEN (MA/CCC SLP) is a healthcare provider. based in Plymouth, Minnesota. specializing in Speech-Language Pathologist. They hold the professional credentials MA/CCC SLP. They hold a License No. 5043 (MN). The NPI Number for MRS. MARY ELIZABETH HAGEN (MA/CCC SLP) is 1629014378

Main info

Female
Sole Proprietor
Name
MRS. MARY ELIZABETH HAGEN (MA/CCC SLP)
NPI
1629014378
Phone
(763) 607-4440
Address
10715 39TH AVE N
Enumeration Date
21 June 2006
Last Update Date
8 July 2007
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for MRS. MARY ELIZABETH HAGEN (MA/CCC SLP)

  • 10715, 39th Avenue North, Plymouth, Hennepin County, Minnesota, 55441, United States

    PLYMOUTH, MN 554411412

    Phone: (763) 607-4440

    Fax: (763) 553-2933

    Type: Mailing

  • 5480, Nathan Lane North, Plymouth, Hennepin County, Minnesota, 55442, United States

    SUITE 140

    PLYMOUTH, MN 554421997

    Phone: (763) 607-4440

    Fax: (763) 553-2933

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55441)

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Reviews

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Frequently asked questions

What is MRS. MARY ELIZABETH HAGEN (MA/CCC SLP)'s NPI number?
MRS. MARY ELIZABETH HAGEN (MA/CCC SLP)'s NPI is 1629014378 — the number used across U.S. healthcare to identify this provider.
Is there an active status for MRS. MARY ELIZABETH HAGEN (MA/CCC SLP)?
For scheduling context, MRS. MARY ELIZABETH HAGEN (MA/CCC SLP) is shown as active in the registry.
What area of care is associated with MRS. MARY ELIZABETH HAGEN (MA/CCC SLP)?
MRS. MARY ELIZABETH HAGEN (MA/CCC SLP)'s record emphasizes Speech-Language Pathologist. Clinical services aligned with this taxonomy classification.
What locale is associated with MRS. MARY ELIZABETH HAGEN (MA/CCC SLP)?
Directory geography for MRS. MARY ELIZABETH HAGEN (MA/CCC SLP) centers on Plymouth, Minnesota.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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