Provider Demographics
NPI:1588197800
Name:WENDELN, CATHERINE (LPCC-S)
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:
Last Name:WENDELN
Suffix:
Gender:F
Credentials:LPCC-S
Other - Prefix:
Other - First Name:CATHERINE
Other - Middle Name:
Other - Last Name:DEVLIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4464 S DIXIE HWY
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:OH
Mailing Address - Zip Code:45005-5464
Mailing Address - Country:US
Mailing Address - Phone:513-649-8808
Mailing Address - Fax:513-649-8004
Practice Address - Street 1:4464 S DIXIE HWY
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:OH
Practice Address - Zip Code:45005
Practice Address - Country:US
Practice Address - Phone:513-649-8808
Practice Address - Fax:513-649-8004
Is Sole Proprietor?:No
Enumeration Date:2017-04-04
Last Update Date:2023-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
E.1800793101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHH130910OtherMEDICARE GROUP PTAN
OH0074861OtherMEDICAID-ODADAS
OH0074946OtherMEDICAID-ODMH
OH01-0693OtherCARF CERTIFICATION