Provider Demographics
NPI:1710761614
Name:NEIFELD WHEELER, WENDY (LMHC)
Entity Type:Individual
Prefix:DR
First Name:WENDY
Middle Name:
Last Name:NEIFELD WHEELER
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:92 RED OAK LN
Mailing Address - Street 2:
Mailing Address - City:RENSSELAER
Mailing Address - State:NY
Mailing Address - Zip Code:12144-9772
Mailing Address - Country:US
Mailing Address - Phone:518-859-5241
Mailing Address - Fax:
Practice Address - Street 1:92 RED OAK LN
Practice Address - Street 2:
Practice Address - City:RENSSELAER
Practice Address - State:NY
Practice Address - Zip Code:12144-9772
Practice Address - Country:US
Practice Address - Phone:518-859-5241
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-22
Last Update Date:2023-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY003723101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty