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NPI Code Detail

MEDICARE: KATELYN WENDLING

MEDICARE: KATELYN WENDLING
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
1103TC1900XCounseling Psychologist6301018328MI

General Provider Information

NPI Number : 1528694312
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATELYN WENDLING
Provider Business Mailing Address
First Line : 1000 S LINCOLN ST
Second Line :
City : BAY CITY
State : MI
Zip : 48708-7417
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2800 S SHEPHERD RD
Second Line :
City : MOUNT PLEASANT
State : MI
Zip : 48858-8966
Country : US
Telephone Number : 989-775-4850
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/12/2020
Last Update Date : 03/12/2020

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Directions to “ KATELYN WENDLING ” Practice Location

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