Provider Demographics
NPI:1336517556
Name:MELTZER, WENDY (MA, LPC)
Entity Type:Individual
Prefix:MS
First Name:WENDY
Middle Name:
Last Name:MELTZER
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1514 17TH ST NW APT 307
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20036-6238
Mailing Address - Country:US
Mailing Address - Phone:202-270-1813
Mailing Address - Fax:
Practice Address - Street 1:1514 17TH ST NW APT 307
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20036-6238
Practice Address - Country:US
Practice Address - Phone:202-270-1813
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-03
Last Update Date:2022-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCPRC15230101YM0800X
101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health