| Doctor Name: | ELIZABETH FAYE WEDELL |
| NPI Number: | 1205912680 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | L.P.C.; L.M.F.T. |
| License Number: | 11414 |
| Business Practice Address: | 112 W 5th St Bonham, TX - 754184365 |
| Business Phone Number: | 9036403868 |
| Business Fax Number: | |
| Mailing Address: | Po Box 812, BONHAM |
| State: | TX |
| Postal Code: | 754180812 |
| Phone Number: | 9035832661 |
| Fax Number: | 9035832661 |
| NPI Enumeration Date: | 10/28/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 11414 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | TX |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |