Healthcare Provider Details

I. General information

NPI: 1962319905
Provider Name (Legal Business Name): WENDY LYNN MASSEY LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/25/2026
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14651 OXNARD ST
VAN NUYS CA
91411-3120
US

IV. Provider business mailing address

23055 SHERMAN WAY UNIT 4165
WEST HILLS CA
91308-7011
US

V. Phone/Fax

Practice location:
  • Phone: 818-581-1223
  • Fax:
Mailing address:
  • Phone: 818-581-1223
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberLMFT40404
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: