Most Relevant Information
Provider Data
| NPI Number: | 1003043217 |
| Provider Name: | LIESL WENZKE HARTMANN M.A., CCC/SLP |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | 12920 |
Most Important Dates
| Enumeration Date: | 06/15/2009 |
| Last Updated: | 06/15/2009 |
Provider Practice Location
672 2ND AVE
SAN FRANCISCO
CA
941184008
Practice Location Phone/Fax
| Phone: | 4153106269 |
| Fax: |
Provider Mailing Location
672 2ND AVE
SAN FRANCISCO
CA
941184008
Provider Mailing Phone/Fax
| Phone: | 4153106269 |
| Fax: |