Healthcare Provider Details

I. General information

NPI: 1295643567
Provider Name (Legal Business Name): WENDY LEE HARTMAN AMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/28/2026
Last Update Date: 08/28/2026
Certification Date: 08/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2195 LARKSPUR LN
REDDING CA
96002-0629
US

IV. Provider business mailing address

22610 RENO AVE
GERBER CA
96035-9795
US

V. Phone/Fax

Practice location:
  • Phone: 530-338-0087
  • Fax:
Mailing address:
  • Phone: 530-338-0087
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: