Individual
AUDREY MAHLSTEDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA CCC-SLP
Contact information
Practice address
7165 BURTON AVE, ROHNERT PARK, CA 94928-3316
(707) 792-4700
Mailing address
2186 FRANCISCO AVE, SANTA ROSA, CA 95403-8173
(760) 390-5450
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-16-21486
CA
235Z00000X
Speech-Language Pathologist
Primary
18299
CA
Other
Enumeration date
04/25/2019
Last updated
04/25/2019
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