MEDICARE: MRS. WENDY ELIZABETH CRANE ED.S., LMFT

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	106H00000X	Marriage & Family Therapist	1981	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	Z031W	OTHER	FL	BLUE CROSS NON PPO PROVID

General Provider Information

NPI Number	:	1700096138
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. WENDY ELIZABETH CRANE ED.S., LMFT

Provider Business Mailing Address
First Line	:	1215 NORWOOD PL
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32804-6725
Country	:	US
Telephone Number	:	407-739-4267
Fax Number	:

Provider Business Practice Location Address
First Line	:	200 WAYMONT CT STE 126
Second Line	:
City	:	LAKE MARY
State	:	FL
Zip	:	32746-3413
Country	:	US
Telephone Number	:	407-739-4267
Fax Number	:

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

Provider Enumeration Date	:	05/23/2007
Last Update Date	:	06/25/2024

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