Provider Demographics
NPI:1275827727
Name:HAGGERTY, WENDY LEE (LMFT)
Entity Type:Individual
Prefix:MRS
First Name:WENDY
Middle Name:LEE
Last Name:HAGGERTY
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:MISS
Other - First Name:WENDY
Other - Middle Name:LEE
Other - Last Name:SIMES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7727B HOLIDAY DR
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34231-5313
Mailing Address - Country:US
Mailing Address - Phone:941-374-7323
Mailing Address - Fax:860-461-7761
Practice Address - Street 1:7727B HOLIDAY DR
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34231-5313
Practice Address - Country:US
Practice Address - Phone:941-374-7323
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-01
Last Update Date:2020-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT1617106H00000X
FLMT3541106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist