Individual
REGAN MARIE WAHLBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
1817 N 7TH ST, PHOENIX, AZ 85006-2133
(602) 538-5123
Mailing address
2628 E ANDERSON DR, PHOENIX, AZ 85032-2404
(602) 538-5123
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP4879
AZ
Other
Enumeration date
05/21/2007
Last updated
08/18/2010
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