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NPI Code Detail

MEDICARE: WENDY HOCKENBARY LMHC

MEDICARE: WENDY HOCKENBARY LMHC
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
1101YM0800XMental Health Counselor000844NY

General Provider Information

NPI Number : 1891890935
Entity Type Code : Individual
Provider Name (Legal Business Name) : WENDY HOCKENBARY LMHC
Provider Business Mailing Address
First Line : 226 BUTTON SHORES RD
Second Line :
City : BALDWINSVILLE
State : NY
Zip : 13027-9707
Country : US
Telephone Number : 315-345-4064
Fax Number :
Provider Business Practice Location Address
First Line : 1045 JAMES ST
Second Line :
City : SYRACUSE
State : NY
Zip : 13203-2730
Country : US
Telephone Number : 315-472-4471
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/13/2006
Last Update Date : 06/23/2015

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