| Doctor Name: | WENDY A WEST PIDKAMINY |
| NPI Number: | 1215259379 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW-R |
| License Number: | 2156048 |
| Business Practice Address: | 8195 Cazenovia Rd Suite 9 Manlius, NY - 131049631 |
| Business Phone Number: | 3156824005 |
| Business Fax Number: | |
| Mailing Address: | 8195 Cazenovia Rd, Suite 9 MANLIUS |
| State: | NY |
| Postal Code: | 131049631 |
| Phone Number: | 3156824005 |
| Fax Number: | |
| NPI Enumeration Date: | 02/17/2010 |
| NPI Last Update Date: | 08/06/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041S0200X |
| License Number: | 2156048 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | School |
| Taxonomy Definition: | |