Provider Demographics
NPI:1003012790
Name:HELLER, WENDY (PHD)
Entity Type:Individual
Prefix:DR
First Name:WENDY
Middle Name:
Last Name:HELLER
Suffix:
Gender:F
Credentials:PHD
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Other - Credentials:
Mailing Address - Street 1:603 E DANIEL ST
Mailing Address - Street 2:PSYCHOLOGY DEPT. UIUC
Mailing Address - City:CHAMPAIGN
Mailing Address - State:IL
Mailing Address - Zip Code:61820-6232
Mailing Address - Country:US
Mailing Address - Phone:217-333-0041
Mailing Address - Fax:217-244-5876
Practice Address - Street 1:505 E GREEN ST
Practice Address - Street 2:3RD FLOOR, PSYCHOLOGICAL SERVICES CENTER
Practice Address - City:CHAMPAIGN
Practice Address - State:IL
Practice Address - Zip Code:61820-5723
Practice Address - Country:US
Practice Address - Phone:217-333-0041
Practice Address - Fax:217-333-0064
Is Sole Proprietor?:No
Enumeration Date:2007-06-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL71003954103G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist