Provider Demographics
NPI:1831501535
Name:WENDY L. CRAYOSKY,LLC
Entity Type:Organization
Organization Name:WENDY L. CRAYOSKY,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:WENDY
Authorized Official - Middle Name:LANE
Authorized Official - Last Name:CRAYOSKY
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:814-693-6500
Mailing Address - Street 1:6350 NICHOLAS DR
Mailing Address - Street 2:
Mailing Address - City:HUNTINGDON
Mailing Address - State:PA
Mailing Address - Zip Code:16652-8500
Mailing Address - Country:US
Mailing Address - Phone:814-693-6500
Mailing Address - Fax:814-693-6500
Practice Address - Street 1:518 MULBERRY ST
Practice Address - Street 2:SUITE 100
Practice Address - City:HOLLIDAYSBURG
Practice Address - State:PA
Practice Address - Zip Code:16648-1837
Practice Address - Country:US
Practice Address - Phone:814-693-6500
Practice Address - Fax:814-693-6500
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-29
Last Update Date:2014-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW013601251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health