Provider Demographics
NPI:1841738176
Name:SCHIRVAR, WENDI (PHD, LP, NCSP)
Entity Type:Individual
Prefix:DR
First Name:WENDI
Middle Name:
Last Name:SCHIRVAR
Suffix:
Gender:F
Credentials:PHD, LP, NCSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17468 SLIPPER SHELL WAY UNIT 4
Mailing Address - Street 2:
Mailing Address - City:LEWES
Mailing Address - State:DE
Mailing Address - Zip Code:19958-6316
Mailing Address - Country:US
Mailing Address - Phone:651-442-0385
Mailing Address - Fax:
Practice Address - Street 1:17468 SLIPPER SHELL WAY UNIT 4
Practice Address - Street 2:
Practice Address - City:LEWES
Practice Address - State:DE
Practice Address - Zip Code:19958-6316
Practice Address - Country:US
Practice Address - Phone:612-470-8166
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-07
Last Update Date:2021-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEB1-0011242103TC2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & AdolescentGroup - Multi-Specialty