Wagner Berman, Josi Amanda

Wagner Berman, Josi Amanda is an individual health care provider with primary practice located at 626 Golden Eagle Cir , Golden CO 80401-0909. 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. Wagner Berman, Josi Amanda can be contacted via phone (303) 883-2293.

Contact Information

Primary practice address
626 Golden Eagle Cir Golden CO 80401-0909
Phone: (303) 883-2293
Fax: (866) 543-7981
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 12040893 Alabama
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 0000037 Colorado

Profile Details

NPI number 1154529402
LBN Legal business name Wagner Berman, Josi Amanda
Credentials M.S., CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 9th, 2007
Last updated Mar 24th, 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 1154529402 NPPES
Colorado Other 0000037 COLORADO LICENSE #
Colorado Other 30-0124329 COLORADO LICENSE #
Colorado MEDICAID 03051781 COLORADO LICENSE #
Colorado Other 12040893 COLORADO LICENSE #

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