Provider Demographics
NPI:1922479500
Name:NAUMANN, WENDY CAROLE (PHD)
Entity Type:Individual
Prefix:DR
First Name:WENDY
Middle Name:CAROLE
Last Name:NAUMANN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:130 NORTHWOODS BLVD
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43235-7473
Mailing Address - Country:US
Mailing Address - Phone:614-596-7730
Mailing Address - Fax:614-849-1849
Practice Address - Street 1:2935 KENNY RD STE 110
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43221-2484
Practice Address - Country:US
Practice Address - Phone:614-966-2997
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-08
Last Update Date:2021-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH7339103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist