Provider Demographics
NPI:1376336503
Name:FENTY, WENDY P (BA PHYCHOLOGY)
Entity type:Individual
Prefix:
First Name:WENDY
Middle Name:P
Last Name:FENTY
Suffix:
Gender:F
Credentials:BA PHYCHOLOGY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 WEYMOUTH ST
Mailing Address - Street 2:
Mailing Address - City:FITCHBURG
Mailing Address - State:MA
Mailing Address - Zip Code:01420-3317
Mailing Address - Country:US
Mailing Address - Phone:781-500-9941
Mailing Address - Fax:
Practice Address - Street 1:2 WEYMOUTH ST
Practice Address - Street 2:
Practice Address - City:FITCHBURG
Practice Address - State:MA
Practice Address - Zip Code:01420-3317
Practice Address - Country:US
Practice Address - Phone:781-500-9941
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-28
Last Update Date:2025-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula