Provider Demographics
NPI:1629231568
Name:ARUNDALE, WENDY HANFORD (PHD)
Entity Type:Individual
Prefix:DR
First Name:WENDY
Middle Name:HANFORD
Last Name:ARUNDALE
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 UNIVERSITY AVE
Mailing Address - Street 2:STE. 2
Mailing Address - City:FAIRBANKS
Mailing Address - State:AK
Mailing Address - Zip Code:99709-3660
Mailing Address - Country:US
Mailing Address - Phone:907-451-0203
Mailing Address - Fax:907-451-0203
Practice Address - Street 1:600 UNIVERSITY AVE
Practice Address - Street 2:STE. 2
Practice Address - City:FAIRBANKS
Practice Address - State:AK
Practice Address - Zip Code:99709-3660
Practice Address - Country:US
Practice Address - Phone:907-451-0203
Practice Address - Fax:907-451-0203
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-09
Last Update Date:2015-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK601103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
AK601OtherSTATE OF ALASKA