Individual
MRS. AMIE LYNN WOLBRECHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SP
Contact information
Practice address
3200 BRISTOL ST, SUITE 180, COSTA MESA, CA 92626-1808
(714) 557-9292
(714) 557-9137
Mailing address
3200 BRISTOL ST, SUITE 180, COSTA MESA, CA 92626-1808
(714) 557-9292
(714) 557-9137
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP 13681
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SP 13681
SP LICENSE
CA
Enumeration date
11/28/2006
Last updated
07/08/2007
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