Individual
CHARISSE WAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP CA LICENSE 4032
Contact information
Practice address
415 DANIELS AVE, VALLEJO, CA 94590-3040
(707) 556-8921
Mailing address
665 WALNUT AVE, VALLEJO, CA 94592-1177
(707) 556-8921
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4032
CA
Other
Enumeration date
03/05/2026
Last updated
03/05/2026
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