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NPI Code Detail

MEDICARE: WENDY L HOLDSWORTH

MEDICARE:   WENDY L HOLDSWORTH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorE.2303332OH
2225XM0800XMental Health Occupational Therapist
3225XM0800XMental Health Occupational TherapistC.2002669OH
4101YP2500XProfessional CounselorE.2303332OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1538630975
Entity Type Code : Individual
Provider Name (Legal Business Name) : WENDY L HOLDSWORTH
Provider Business Mailing Address
First Line : 9049 SPRINGBORO PIKE
Second Line :
City : MIAMISBURG
State : OH
Zip : 45342-4926
Country : US
Telephone Number : 937-759-0545
Fax Number :
Provider Business Practice Location Address
First Line : 9049 SPRINGBORO PIKE
Second Line :
City : MIAMISBURG
State : OH
Zip : 45342-4926
Country : US
Telephone Number : 937-759-0545
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/11/2018
Last Update Date : 02/09/2023

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Directions to “ WENDY L HOLDSWORTH ” Practice Location

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