Wennersten, Andrea Michelle

Wennersten, Andrea Michelle is an sole proprietor health care provider with primary practice located at 1450 Encina Rd , Santa Fe NM 87505-4726. 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. Wennersten, Andrea Michelle can be contacted via phone (505) 983-6829.

Contact Information

Primary practice address
1450 Encina Rd Santa Fe NM 87505-4726
Phone: (505) 983-6829
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 3936 New Mexico

Profile Details

NPI number 1992845838
LBN Legal business name Wennersten, Andrea Michelle
Credentials M.S. CCC-SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 8th, 2007
Last updated Nov 18th, 2011 - about 15 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 1992845838 NPPES
New Mexico MEDICAID 65389018

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