Individual
MR. CHRIS WENGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CCC-SLP, M.S., M.ED
Contact information
Practice address
1500 S HAVEN AVE STE 190, ONTARIO, CA 91761-2971
(909) 390-1313
Mailing address
10927 MANCHESTER ST, RANCHO CUCAMONGA, CA 91701-7530
(949) 554-8222
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
20491
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
235Z00000X
—
CA
Enumeration date
02/23/2016
Last updated
02/23/2016
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