Doctor Name: | WENDY J SEELEY |
NPI Number: | 1205129772 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | |
Business Practice Address: | 1753 Sidewinder Dr Park City, UT - 840607322 |
Business Phone Number: | 4356498347 |
Business Fax Number: | 4356492157 |
Mailing Address: | 1753 Sidewinder Dr, PARK CITY |
State: | UT |
Postal Code: | 840607322 |
Phone Number: | 4356498347 |
Fax Number: | 4356492157 |
NPI Enumeration Date: | 05/17/2011 |
NPI Last Update Date: | 01/16/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |