Healthcare Provider Details

I. General information

NPI: 1841738176
Provider Name (Legal Business Name): WENDI SCHIRVAR PHD, LP, NCSP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/07/2017
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19891 LIGHTSHIP COVE DR
MILTON DE
19968-3471
US

IV. Provider business mailing address

32050 LONG NECK RD
MILLSBORO DE
19966-6228
US

V. Phone/Fax

Practice location:
  • Phone: 651-442-0385
  • Fax:
Mailing address:
  • Phone: 302-645-1099
  • Fax: 855-556-6341

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberB1--0011242
License Number StateDE
# 2
Primary TaxonomyN
Taxonomy Code103TH0004X
TaxonomyHealth Psychologist
License Number1841738176
License Number StateDE
# 3
Primary TaxonomyN
Taxonomy Code103TB0200X
TaxonomyCognitive & Behavioral Psychologist
License Number1841738176
License Number StateDE
# 4
Primary TaxonomyY
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License NumberB1-0011242
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: