Provider Demographics
NPI:1477281756
Name:MAHER, WENDY (MFT)
Entity Type:Individual
Prefix:
First Name:WENDY
Middle Name:
Last Name:MAHER
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3435 E THOUSAND OAKS BLVD UNIT 3301
Mailing Address - Street 2:
Mailing Address - City:THOUSAND OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91359-7914
Mailing Address - Country:US
Mailing Address - Phone:805-490-8078
Mailing Address - Fax:
Practice Address - Street 1:797 CALLE PUNTA
Practice Address - Street 2:
Practice Address - City:THOUSAND OAKS
Practice Address - State:CA
Practice Address - Zip Code:91360-6123
Practice Address - Country:US
Practice Address - Phone:805-490-8078
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-12
Last Update Date:2022-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist