Provider Demographics
NPI:1386690519
Name:MCKEE, WENDY E (EDD)
Entity Type:Individual
Prefix:DR
First Name:WENDY
Middle Name:E
Last Name:MCKEE
Suffix:
Gender:F
Credentials:EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:41 N JEFFERSON ST
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32502-5644
Mailing Address - Country:US
Mailing Address - Phone:850-438-5000
Mailing Address - Fax:850-438-5007
Practice Address - Street 1:41 N JEFFERSON ST
Practice Address - Street 2:
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32502-5644
Practice Address - Country:US
Practice Address - Phone:850-438-5000
Practice Address - Fax:850-438-5007
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY 2988103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL75157Medicare ID - Type Unspecified