Provider Demographics
NPI:1245635879
Name:HEATH-GAINER, WENDY (PHD)
Entity type:Individual
Prefix:
First Name:WENDY
Middle Name:
Last Name:HEATH-GAINER
Suffix:
Gender:F
Credentials:PHD
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Mailing Address - Street 1:1864 INDEPENDANCE SQ STE A
Mailing Address - Street 2:ATLANTA NETWORK FOR INDIVIDUAL AND FAMILY THERAPY
Mailing Address - City:DUNWOODY
Mailing Address - State:GA
Mailing Address - Zip Code:30338
Mailing Address - Country:US
Mailing Address - Phone:770-668-0350
Mailing Address - Fax:770-668-0417
Practice Address - Street 1:1864 INDEPENDANCE SQ STE A
Practice Address - Street 2:ATLANTA NETWORK FOR INDIVIDUAL AND FAMILY THERAPY
Practice Address - City:DUNWOODY
Practice Address - State:GA
Practice Address - Zip Code:30338
Practice Address - Country:US
Practice Address - Phone:770-668-0350
Practice Address - Fax:770-668-0417
Is Sole Proprietor?:No
Enumeration Date:2014-10-24
Last Update Date:2014-10-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GAPSY003827103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist