Doctor Name: | MRS. WENDY BANGERTER |
NPI Number: | 1316141468 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC 1245, MMHC, NCE |
License Number: | LPC 1245 |
Business Practice Address: | 409 E Bradley St Unit 1 Laramie, WY - 820723103 |
Business Phone Number: | 3073214863 |
Business Fax Number: | |
Mailing Address: | 2744 Bianco Drive, FORT COLLINS |
State: | CO |
Postal Code: | 80521 |
Phone Number: | 3073214863 |
Fax Number: | 9702329585 |
NPI Enumeration Date: | 06/13/2007 |
NPI Last Update Date: | 06/26/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | LPC 1245 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |