Provider Demographics
NPI:1821303405
Name:PATTINGER-BEHAR, WENDY (LMSW, CASAC-T)
Entity Type:Individual
Prefix:MS
First Name:WENDY
Middle Name:
Last Name:PATTINGER-BEHAR
Suffix:
Gender:F
Credentials:LMSW, CASAC-T
Other - Prefix:MS
Other - First Name:WENDY
Other - Middle Name:
Other - Last Name:BEHAR
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMSW,CASAC-T
Mailing Address - Street 1:54 HYDE CT
Mailing Address - Street 2:
Mailing Address - City:MANHASSET
Mailing Address - State:NY
Mailing Address - Zip Code:11030-3922
Mailing Address - Country:US
Mailing Address - Phone:516-729-0926
Mailing Address - Fax:516-627-5069
Practice Address - Street 1:300 MOTOR PKWY
Practice Address - Street 2:SUITE 110
Practice Address - City:HAUPPAUGE
Practice Address - State:NY
Practice Address - Zip Code:11788-5171
Practice Address - Country:US
Practice Address - Phone:516-729-0926
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-08
Last Update Date:2010-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY076638104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker