Provider Demographics
NPI:1205356243
Name:WENGER, ALANA (HAS)
Entity Type:Individual
Prefix:
First Name:ALANA
Middle Name:
Last Name:WENGER
Suffix:
Gender:F
Credentials:HAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3717 CENTER POINT RD NE STE 200
Mailing Address - Street 2:
Mailing Address - City:CEDAR RAPIDS
Mailing Address - State:IA
Mailing Address - Zip Code:52402-2944
Mailing Address - Country:US
Mailing Address - Phone:319-393-8994
Mailing Address - Fax:
Practice Address - Street 1:3717 CENTER POINT RD NE STE 200
Practice Address - Street 2:
Practice Address - City:CEDAR RAPIDS
Practice Address - State:IA
Practice Address - Zip Code:52402-2944
Practice Address - Country:US
Practice Address - Phone:319-393-8994
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-21
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA83381237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist