Provider Demographics
NPI:1932471901
Name:SARKISIAN, WENDY (PSYD)
Entity Type:Individual
Prefix:DR
First Name:WENDY
Middle Name:
Last Name:SARKISIAN
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 UNIVERSITY PL
Mailing Address - Street 2:WIDENER UNIVERSITY, BALIN HALL, NAC
Mailing Address - City:CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19013-5700
Mailing Address - Country:US
Mailing Address - Phone:610-499-4273
Mailing Address - Fax:610-499-4649
Practice Address - Street 1:2129 PROVIDENCE AVE
Practice Address - Street 2:WIDENER UNIVERSITY, BALIN HALL, NAC
Practice Address - City:CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19013-5506
Practice Address - Country:US
Practice Address - Phone:610-499-4273
Practice Address - Fax:610-499-4649
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-06
Last Update Date:2012-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS015910103G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist