Lundberg, Tashie Renae
Lundberg, Tashie Renae is an individual health care provider with primary practice located at 435 E 5Th St , Lovell WY 82431-1947. 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. Lundberg, Tashie Renae can be contacted via phone (307) 548-6722.Contact Information
Primary practice address
435 E 5Th St
Lovell WY 82431-1947
Phone: (307) 548-6722
Fax: (307) 548-6700
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | SP-403 | Wyoming |
Profile Details
| NPI number | 1023200144 |
|---|---|
| LBN Legal business name | Lundberg, Tashie Renae |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 13th, 2007 |
| Last updated | Aug 13th, 2007 - about 19 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 | 1023200144 | NPPES |
| Wyoming | Other | 12027059 | ASHA |
| Wyoming | MEDICAID | 1770688871 | ASHA |
| Wyoming | Other | SP-403 | ASHA |
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