Wanders, Michelle Leigh

Wanders, Michelle Leigh is an individual health care provider with primary practice located at 15802 N Parkview Pl , Surprise AZ 85374-7466. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Wanders, Michelle Leigh can be contacted via phone (623) 876-7000.

Contact Information

Primary practice address
15802 N Parkview Pl Surprise AZ 85374-7466
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X TSLP5656 Arizona

Profile Details

NPI number 1508053984
LBN Legal business name Wanders, Michelle Leigh
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 28th, 2007
Last updated Sep 28th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508053984 NPPES
Arizona Other 173181 AHCCCS PROVIDER ID

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