Provider Demographics
NPI:1689730715
Name:CRAYOSKY, WENDY LANE (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:WENDY
Middle Name:LANE
Last Name:CRAYOSKY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6350 NICHOLAS DR
Mailing Address - Street 2:
Mailing Address - City:HUNTINGDON
Mailing Address - State:PA
Mailing Address - Zip Code:16652-8500
Mailing Address - Country:US
Mailing Address - Phone:814-693-6500
Mailing Address - Fax:814-693-6500
Practice Address - Street 1:518 MULBERRY ST
Practice Address - Street 2:SUITE 100
Practice Address - City:HOLLIDAYSBURG
Practice Address - State:PA
Practice Address - Zip Code:16648-1837
Practice Address - Country:US
Practice Address - Phone:814-693-6500
Practice Address - Fax:814-693-6500
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-01
Last Update Date:2014-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0136011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical