| Organization Name: | WENDY HART PH.D., PC |
| NPI Number: | 1003152489 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | WENDY S HART (CLINICAL PSYCHOLOGIST/PRESIDENT) |
| Mailing Address: | 2222 S Dobson Rd Suite 1004 Mesa |
| State: | AZ US |
| Postal Code: | 852026481 |
| Phone Number: | 4807758811 |
| Fax Number: | 4807758866 |
| NPI Enumeration Date: | 12/12/2012 |
| NPI Last Update Date: | 12/12/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM0801X |
| License Number: | 2039 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Mental Health (Including Community Mental Health Center) |
| Taxonomy Definition: | |