Doctor Name: | MRS. WENDY SUMMERS |
NPI Number: | 1003979758 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PLPC |
License Number: | 2006009205 |
Business Practice Address: | 734 W Monroe St Mexico, MO - 652651970 |
Business Phone Number: | 5735820292 |
Business Fax Number: | 5735816036 |
Mailing Address: | 8890 Pike 474, CURRYVILLE |
State: | MO |
Postal Code: | 633392816 |
Phone Number: | 5733246467 |
Fax Number: | |
NPI Enumeration Date: | 12/17/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 2006009205 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |