Alt, Wendy

Alt, Wendy is an sole proprietor health care provider with primary practice located at 891 Mountain Ranch Rd , San Andreas CA 95249-9713. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Alt, Wendy can be contacted via phone (209) 754-6843.

Contact Information

Primary practice address
891 Mountain Ranch Rd San Andreas CA 95249-9713
Phone: (209) 754-6843
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 73761 California

Profile Details

NPI number 1912301318
LBN Legal business name Alt, Wendy
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 14th, 2014
Last updated Oct 14th, 2014 - about 12 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 1912301318 NPPES
California MEDICAID 1811945132

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