Overcast, Lissi Wandemburg
Overcast, Lissi Wandemburg is an sole proprietor health care provider with primary practice located at 1681 Hickory Loop , Las Cruces NM 88005-6587. 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. Overcast, Lissi Wandemburg can be contacted via phone (575) 647-3773.Contact Information
Primary practice address
1681 Hickory Loop
Las Cruces NM 88005-6587
Phone: (575) 647-3773
Fax: (575) 647-3777
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | SLP5152 | New Mexico |
Profile Details
| NPI number | 1023395126 |
|---|---|
| LBN Legal business name | Overcast, Lissi Wandemburg |
| Credentials | Master of Arts (MA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 3rd, 2011 |
| Last updated | May 18th, 2022 - about 3 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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