Provider Demographics
NPI:1396128062
Name:REGNER, WENDY (LAPC)
Entity type:Individual
Prefix:
First Name:WENDY
Middle Name:
Last Name:REGNER
Suffix:
Gender:F
Credentials:LAPC
Other - Prefix:
Other - First Name:WENDY
Other - Middle Name:
Other - Last Name:ROHRBECK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5574 BISHOPS BLVD S
Mailing Address - Street 2:
Mailing Address - City:FARGO
Mailing Address - State:ND
Mailing Address - Zip Code:58104-7251
Mailing Address - Country:US
Mailing Address - Phone:701-730-5361
Mailing Address - Fax:
Practice Address - Street 1:5574 BISHOPS BLVD S
Practice Address - Street 2:
Practice Address - City:FARGO
Practice Address - State:ND
Practice Address - Zip Code:58104-7251
Practice Address - Country:US
Practice Address - Phone:701-730-5361
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-30
Last Update Date:2015-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND832-5-15-15A101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor