Provider Demographics
NPI:1710524863
Name:WENDT, VIRGINIA PEYTON (LPC)
Entity Type:Individual
Prefix:
First Name:VIRGINIA
Middle Name:PEYTON
Last Name:WENDT
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:510 3RD AVE FL 4
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15219-2107
Mailing Address - Country:US
Mailing Address - Phone:412-660-6100
Mailing Address - Fax:
Practice Address - Street 1:510 3RD AVE FL 5
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15219-2107
Practice Address - Country:US
Practice Address - Phone:412-660-6100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-12-09
Last Update Date:2022-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC011426101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional