Provider Demographics
NPI:1477630044
Name:WENDLING, HEATHER MICHELLE (MA PC)
Entity Type:Individual
Prefix:MS
First Name:HEATHER
Middle Name:MICHELLE
Last Name:WENDLING
Suffix:
Gender:F
Credentials:MA PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:40 HUNT CLUB DRIVE
Mailing Address - Street 2:201
Mailing Address - City:COPLEY
Mailing Address - State:OH
Mailing Address - Zip Code:44321-3136
Mailing Address - Country:US
Mailing Address - Phone:330-666-7614
Mailing Address - Fax:
Practice Address - Street 1:23210 CHAGRIN BLVD SUITE 400
Practice Address - Street 2:NORTH EAST OHIO HEALTH SERVICES
Practice Address - City:BEACHWOOD
Practice Address - State:OH
Practice Address - Zip Code:44122-5429
Practice Address - Country:US
Practice Address - Phone:216-831-6466
Practice Address - Fax:216-766-6084
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHC7980101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional