Provider Demographics
NPI:1922547132
Name:SHARPLESS, WENDY (LPC)
Entity Type:Individual
Prefix:MRS
First Name:WENDY
Middle Name:
Last Name:SHARPLESS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:417 ALEXANDRA DR
Mailing Address - Street 2:
Mailing Address - City:EAGLEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19403-1301
Mailing Address - Country:US
Mailing Address - Phone:484-925-3349
Mailing Address - Fax:215-392-8540
Practice Address - Street 1:417 ALEXANDRA DR
Practice Address - Street 2:
Practice Address - City:EAGLEVILLE
Practice Address - State:PA
Practice Address - Zip Code:19403-1301
Practice Address - Country:US
Practice Address - Phone:484-925-3349
Practice Address - Fax:215-392-8540
Is Sole Proprietor?:No
Enumeration Date:2017-02-21
Last Update Date:2024-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
PAPC010415101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health