Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Charisse Wan, SLP, CALICENSE4032

Individual provider Speech-Language Pathologist · NPI 1568318202

Charisse Wan, SLP, CALICENSE4032 is a Speech-Language Pathologist in Vallejo, California. Licensed in California. Registered with an NPI since 2026.

Licensed in
CA
In the registry since
2026
What do these letters mean?
SLP — Speech-Language Pathologist
Treats speech, language and swallowing disorders.

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Practice location Address checks out

415 Daniels Ave
Vallejo, CA 94590-3040
Phone: (707) 556-8921
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 4032 (CA)

Record details

NPI number1568318202
Entity typeIndividual (Type 1)
GenderFemale
Credentials SLP , CALICENSE4032
Sole proprietorNo
NPI enumeratedMarch 5, 2026
Last updated in NPPESMarch 5, 2026
Certification dateMarch 5, 2026

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