Provider Demographics
NPI:1801455324
Name:HAMRICK, WENDY MARIE (PLPC)
Entity type:Individual
Prefix:
First Name:WENDY
Middle Name:MARIE
Last Name:HAMRICK
Suffix:
Gender:F
Credentials:PLPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:202 E PEARL ST
Mailing Address - Street 2:
Mailing Address - City:HARRISONVILLE
Mailing Address - State:MO
Mailing Address - Zip Code:64701-1848
Mailing Address - Country:US
Mailing Address - Phone:816-974-7378
Mailing Address - Fax:
Practice Address - Street 1:202 E PEARL ST
Practice Address - Street 2:
Practice Address - City:HARRISONVILLE
Practice Address - State:MO
Practice Address - Zip Code:64701-1848
Practice Address - Country:US
Practice Address - Phone:816-974-7378
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-08
Last Update Date:2019-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2019009656101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor