MEDICARE: WENDY LYNN PRICE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1487280830
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WENDY LYNN PRICE

Provider Business Mailing Address
First Line	:	221 SE 3RD AVE APT 8B
Second Line	:
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33435-4563
Country	:	US
Telephone Number	:	727-420-1310
Fax Number	:

Provider Business Practice Location Address
First Line	:	221 SE 3RD AVE APT 8B
Second Line	:
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33435-4563
Country	:	US
Telephone Number	:	727-420-1310
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/18/2020
Last Update Date	:	03/18/2020

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Directions to “ WENDY LYNN PRICE ” Practice Location

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