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NPI Code Detail

MEDICARE: JOHN E WENGER PHD

MEDICARE: JOHN E WENGER PHD
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 Psychologist20010459AIN

General Provider Information

NPI Number : 1891878237
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOHN E WENGER PHD
Provider Business Mailing Address
First Line : 431 WEST 9TH STREET
Second Line :
City : ANDERSON
State : IN
Zip : 46016-1317
Country : US
Telephone Number : 765-649-2234
Fax Number : 765-640-0538
Provider Business Practice Location Address
First Line : 431 WEST 9TH STREET
Second Line :
City : ANDERSON
State : IN
Zip : 46016-1317
Country : US
Telephone Number : 765-649-2234
Fax Number : 765-640-0538
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/21/2006
Last Update Date : 07/08/2007

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Directions to “ JOHN E WENGER PHD” Practice Location

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