Healthcare Provider Details

I. General information

NPI: 1437835345
Provider Name (Legal Business Name): WENDY LEE EDWARDS LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/26/2023
Last Update Date: 02/21/2025
Certification Date: 02/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

103 LORI CIRCLE
EXTON PA
19341
US

IV. Provider business mailing address

103 LORI CIRCLE
EXTON PA
19341
US

V. Phone/Fax

Practice location:
  • Phone: 484-653-8735
  • Fax:
Mailing address:
  • Phone: 484-653-8735
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPC015688
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: