Provider Demographics
NPI:1689709339
Name:MCCRANEY-MATZ, WENDY JOYCE (MA)
Entity Type:Individual
Prefix:MS
First Name:WENDY
Middle Name:JOYCE
Last Name:MCCRANEY-MATZ
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:154 CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:SALINAS
Mailing Address - State:CA
Mailing Address - Zip Code:93901-2657
Mailing Address - Country:US
Mailing Address - Phone:831-772-9577
Mailing Address - Fax:831-754-2670
Practice Address - Street 1:154 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:SALINAS
Practice Address - State:CA
Practice Address - Zip Code:93901-2657
Practice Address - Country:US
Practice Address - Phone:831-772-9577
Practice Address - Fax:831-754-2670
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC 33157106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist