Provider Demographics
NPI:1053488635
Name:OSTEEN, WENDEE D (CCC-SLP)
Entity Type:Individual
Prefix:
First Name:WENDEE
Middle Name:D
Last Name:OSTEEN
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8421 CAPULIN RD NE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87109-5064
Mailing Address - Country:US
Mailing Address - Phone:505-296-5655
Mailing Address - Fax:
Practice Address - Street 1:12701 CONSTITUTION AVE NE
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87112-6082
Practice Address - Country:US
Practice Address - Phone:505-296-5655
Practice Address - Fax:505-291-6872
Is Sole Proprietor?:No
Enumeration Date:2006-11-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM3677235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist