Mahlstedt, Audrey
Mahlstedt, Audrey is an individual health care provider with primary practice located at 7165 Burton Ave , Rohnert Park CA 94928-3316. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Speech, Language and Hearing Service Providers / Speech-Language Pathologist. Speech, Language and Hearing Service Providers / Speech-Language Pathologist is her primary health care specialty. Mahlstedt, Audrey can be contacted via phone (707) 792-4700.Contact Information
Primary practice address
7165 Burton Ave
Rohnert Park CA 94928-3316
Phone: (707) 792-4700
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | 1-16-21486 | California |
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 18299 | California |
Profile Details
| NPI number | 1164086187 |
|---|---|
| LBN Legal business name | Mahlstedt, Audrey |
| Credentials | MA CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 25th, 2019 |
| Last updated | Apr 25th, 2019 - about 7 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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