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Contact Information

LUCIE WANBERG
801 EMPIRE ST
FAIRFIELD, CA94533
 Phone: 707-425-5744
 Fax: 707-425-5162
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
 

Counselor

101Y00000X
Indicates primary specialty

NPI Profile & details for LUCIE WANBERG · (Female)

NPI # 1235680059
Status Active
Credentials
Entity Individual
Enumeration date 10/17/2016
Last updated 02/01/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • CA License # SP16109
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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