Doctor Name: | MRS. WENDY LEE NEWCOMB-BEATTIE |
NPI Number: | 1881857431 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 7031 |
Business Practice Address: | 500 N. Main Street Bldg. #2 Lanoka Harbor, NJ - 08734 |
Business Phone Number: | 6099718989 |
Business Fax Number: | 6062423207 |
Mailing Address: | 1131 Laurel Boulevard, LANOKA HARBOR |
State: | NJ |
Postal Code: | 08734 |
Phone Number: | 6099718989 |
Fax Number: | 6092423207 |
NPI Enumeration Date: | 07/03/2008 |
NPI Last Update Date: | 06/03/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 7031 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |