Doctor Name: | MR. KARL WENDT |
NPI Number: | 1922178383 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PH.D, LPC |
License Number: | 001808 |
Business Practice Address: | 2810 Mount Hope Rd Webb City, MO - 648709674 |
Business Phone Number: | 4176249659 |
Business Fax Number: | 4172067708 |
Mailing Address: | 2810 Mount Hope Rd, WEBB CITY |
State: | MO |
Postal Code: | 648709674 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 11/09/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 001808 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |