Provider Demographics
NPI:1932416690
Name:SZCZEPANSKI, WENDY R (LPC)
Entity Type:Individual
Prefix:MRS
First Name:WENDY
Middle Name:R
Last Name:SZCZEPANSKI
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 53
Mailing Address - Street 2:
Mailing Address - City:FRANKENMUTH
Mailing Address - State:MI
Mailing Address - Zip Code:48734-0053
Mailing Address - Country:US
Mailing Address - Phone:989-928-3150
Mailing Address - Fax:989-652-0193
Practice Address - Street 1:1027 W GENESEE ST
Practice Address - Street 2:
Practice Address - City:FRANKENMUTH
Practice Address - State:MI
Practice Address - Zip Code:48734-1302
Practice Address - Country:US
Practice Address - Phone:989-928-3150
Practice Address - Fax:989-652-0193
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-01
Last Update Date:2016-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401008681101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health