Healthcare Provider Details

I. General information

NPI: 1699695460
Provider Name (Legal Business Name): WENDY SPAULDING
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/20/2026
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 ANDERSON RD
DAYTON ME
04005-7218
US

IV. Provider business mailing address

101 ANDERSON RD
DAYTON ME
04005-7218
US

V. Phone/Fax

Practice location:
  • Phone: 207-902-0723
  • Fax:
Mailing address:
  • Phone: 207-902-0723
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberCC8843
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: