Provider Demographics
NPI:1841422250
Name:QUEST, WENDI M (MED,LMHC,LMFT)
Entity Type:Individual
Prefix:MS
First Name:WENDI
Middle Name:M
Last Name:QUEST
Suffix:
Gender:F
Credentials:MED,LMHC,LMFT
Other - Prefix:
Other - First Name:WENDI
Other - Middle Name:L
Other - Last Name:MOORE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:234 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MEDFORD
Mailing Address - State:MA
Mailing Address - Zip Code:02155-4538
Mailing Address - Country:US
Mailing Address - Phone:781-396-1612
Mailing Address - Fax:
Practice Address - Street 1:234 MAIN ST
Practice Address - Street 2:
Practice Address - City:MEDFORD
Practice Address - State:MA
Practice Address - Zip Code:02155-4538
Practice Address - Country:US
Practice Address - Phone:781-396-1612
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-18
Last Update Date:2009-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3355101YM0800X
MA880106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist