Provider Demographics
NPI:1245644889
Name:FRIESEN, WENDY MALLINSON (MA, MFT)
Entity type:Individual
Prefix:
First Name:WENDY
Middle Name:MALLINSON
Last Name:FRIESEN
Suffix:
Gender:F
Credentials:MA, MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:76 SPRUCE ST
Mailing Address - Street 2:
Mailing Address - City:BRATTLEBORO
Mailing Address - State:VT
Mailing Address - Zip Code:05301-6103
Mailing Address - Country:US
Mailing Address - Phone:802-380-0032
Mailing Address - Fax:
Practice Address - Street 1:76 SPRUCE ST
Practice Address - Street 2:
Practice Address - City:BRATTLEBORO
Practice Address - State:VT
Practice Address - Zip Code:05301-6103
Practice Address - Country:US
Practice Address - Phone:802-380-0032
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-06-11
Last Update Date:2014-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist