Provider Demographics
NPI:1306011382
Name:BAPTIST - MCGEHEE, WENDI M (MFTI)
Entity Type:Individual
Prefix:
First Name:WENDI
Middle Name:M
Last Name:BAPTIST - MCGEHEE
Suffix:
Gender:F
Credentials:MFTI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18403 DANBURY AVE
Mailing Address - Street 2:
Mailing Address - City:HESPERIA
Mailing Address - State:CA
Mailing Address - Zip Code:92345-7153
Mailing Address - Country:US
Mailing Address - Phone:909-732-4583
Mailing Address - Fax:
Practice Address - Street 1:14344 CAJON AVE
Practice Address - Street 2:
Practice Address - City:VICTORVILLE
Practice Address - State:CA
Practice Address - Zip Code:92392-4300
Practice Address - Country:US
Practice Address - Phone:760-243-3999
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-29
Last Update Date:2016-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ106H00000X
CAIMF87706106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist