Provider Demographics
NPI:1699381442
Name:SCANTERBURY, WENDELL H (PHD)
Entity Type:Individual
Prefix:DR
First Name:WENDELL
Middle Name:H
Last Name:SCANTERBURY
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7750 CLEMENTS RD
Mailing Address - Street 2:
Mailing Address - City:WYNCOTE
Mailing Address - State:PA
Mailing Address - Zip Code:19095-2304
Mailing Address - Country:US
Mailing Address - Phone:347-244-4050
Mailing Address - Fax:
Practice Address - Street 1:7750 CLEMENTS RD
Practice Address - Street 2:
Practice Address - City:WYNCOTE
Practice Address - State:PA
Practice Address - Zip Code:19095-2304
Practice Address - Country:US
Practice Address - Phone:347-244-4050
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-17
Last Update Date:2020-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty