Doctor Name: | WENDY MCDONALD |
NPI Number: | 1043315237 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 32609 |
Business Practice Address: | 117 Royal St Bryan, TX - 778014432 |
Business Phone Number: | 9798468600 |
Business Fax Number: | 9797318253 |
Mailing Address: | 117 Royal St, BRYAN |
State: | TX |
Postal Code: | 778014432 |
Phone Number: | 9798468600 |
Fax Number: | 9797318253 |
NPI Enumeration Date: | 09/13/2006 |
NPI Last Update Date: | 12/02/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 32609 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |