Provider Demographics
NPI:1700244795
Name:NAHMIAS, WENDY LANCASTER (MA,LSPE)
Entity Type:Individual
Prefix:MS
First Name:WENDY
Middle Name:LANCASTER
Last Name:NAHMIAS
Suffix:
Gender:F
Credentials:MA,LSPE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8236 PINE VALLEY LN
Mailing Address - Street 2:
Mailing Address - City:GERMANTOWN
Mailing Address - State:TN
Mailing Address - Zip Code:38139-4207
Mailing Address - Country:US
Mailing Address - Phone:901-848-0692
Mailing Address - Fax:901-748-5934
Practice Address - Street 1:8236 PINE VALLEY LN
Practice Address - Street 2:
Practice Address - City:GERMANTOWN
Practice Address - State:TN
Practice Address - Zip Code:38139-4207
Practice Address - Country:US
Practice Address - Phone:901-848-0692
Practice Address - Fax:901-748-5934
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-04
Last Update Date:2016-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNPE903103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool