Provider Demographics
NPI:1922316264
Name:NERIO, WENDY JEANNETTE
Entity Type:Individual
Prefix:MRS
First Name:WENDY
Middle Name:JEANNETTE
Last Name:NERIO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15237 SANTA GERTRUDES AVE UNIT 101
Mailing Address - Street 2:
Mailing Address - City:LA MIRADA
Mailing Address - State:CA
Mailing Address - Zip Code:90638-5082
Mailing Address - Country:US
Mailing Address - Phone:213-219-7329
Mailing Address - Fax:
Practice Address - Street 1:6350 LAUREL CANYON BLVD STE 257
Practice Address - Street 2:
Practice Address - City:NORTH HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:91606-3221
Practice Address - Country:US
Practice Address - Phone:818-509-9802
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-09-21
Last Update Date:2010-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CASLPA 802355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant