Provider Demographics
NPI:1396023750
Name:ELLIOTT, WENDY MCCOY (PHD)
Entity Type:Individual
Prefix:
First Name:WENDY
Middle Name:MCCOY
Last Name:ELLIOTT
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:WENDY
Other - Middle Name:K
Other - Last Name:MCCOY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD
Mailing Address - Street 1:3708 5TH AVE
Mailing Address - Street 2:MEDICAL ARTS BUILDING, SUITE 401
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15213-3427
Mailing Address - Country:US
Mailing Address - Phone:412-802-6696
Mailing Address - Fax:412-683-7160
Practice Address - Street 1:3708 5TH AVE
Practice Address - Street 2:MEDICAL ARTS BUILDING, SUITE 401
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15213-3427
Practice Address - Country:US
Practice Address - Phone:412-802-6696
Practice Address - Fax:412-683-7160
Is Sole Proprietor?:No
Enumeration Date:2011-08-02
Last Update Date:2011-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS017039103T00000X
CO3314103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist