Wennersten, Andrea Michelle
Wennersten, Andrea Michelle is an sole proprietor health care provider with primary practice located at 1450 Encina Rd , Santa Fe NM 87505-4726. 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. Wennersten, Andrea Michelle can be contacted via phone (505) 983-6829.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 3936 | New Mexico |
Profile Details
| NPI number | 1992845838 |
|---|---|
| LBN Legal business name | Wennersten, Andrea Michelle |
| Credentials | M.S. CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 8th, 2007 |
| Last updated | Nov 18th, 2011 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1992845838 | NPPES |
| New Mexico | MEDICAID | 65389018 |
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