Provider Demographics
NPI:1710168463
Name:ALLARD, WENDY SUE (LPC)
Entity Type:Individual
Prefix:
First Name:WENDY
Middle Name:SUE
Last Name:ALLARD
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:WENDY
Other - Middle Name:SUE
Other - Last Name:ESCH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2525 NW EXPRESSWAY
Mailing Address - Street 2:SUITE 608-B
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73112-7227
Mailing Address - Country:US
Mailing Address - Phone:405-388-8458
Mailing Address - Fax:405-848-2214
Practice Address - Street 1:2525 NW EXPRESSWAY
Practice Address - Street 2:SUITE 608-B
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73112-7227
Practice Address - Country:US
Practice Address - Phone:405-388-8458
Practice Address - Fax:405-848-2214
Is Sole Proprietor?:No
Enumeration Date:2007-11-23
Last Update Date:2010-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK3844101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional