Provider Demographics
NPI:1093094294
Name:RENTFROW, WENDY SUE (MA)
Entity Type:Individual
Prefix:MS
First Name:WENDY
Middle Name:SUE
Last Name:RENTFROW
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:311 ALDER ST
Mailing Address - Street 2:
Mailing Address - City:PACIFIC GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:93950-3148
Mailing Address - Country:US
Mailing Address - Phone:530-400-7512
Mailing Address - Fax:
Practice Address - Street 1:200 CAMINO AGUAJITO
Practice Address - Street 2:SUITE 206
Practice Address - City:MONTEREY
Practice Address - State:CA
Practice Address - Zip Code:93940-3372
Practice Address - Country:US
Practice Address - Phone:530-400-7512
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-05
Last Update Date:2011-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist