Provider Demographics
NPI:1457400814
Name:BROWN, WENDY (MS)
Entity Type:Individual
Prefix:
First Name:WENDY
Middle Name:
Last Name:BROWN
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:WENDY
Other - Middle Name:
Other - Last Name:BJORNTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2213 FORAKER DR
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99517-1151
Mailing Address - Country:US
Mailing Address - Phone:907-223-9200
Mailing Address - Fax:907-222-1101
Practice Address - Street 1:2600 DENALI ST
Practice Address - Street 2:SUITE 606
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99503-2739
Practice Address - Country:US
Practice Address - Phone:907-223-9200
Practice Address - Fax:907-222-1101
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AKL.P.C.101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health