Basic Information
| Provider Information | |||||||||
| NPI: | 1477630044 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | WENDLING | ||||||||
| FirstName: | HEATHER | ||||||||
| MiddleName: | MICHELLE | ||||||||
| NamePrefix: | MS. | ||||||||
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| Credential: | MA PC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 40 HUNT CLUB DRIVE | ||||||||
| Address2: | 201 | ||||||||
| City: | COPLEY | ||||||||
| State: | OH | ||||||||
| PostalCode: | 443213136 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3306667614 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 23210 CHAGRIN BLVD SUITE 400 | ||||||||
| Address2: | NORTH EAST OHIO HEALTH SERVICES | ||||||||
| City: | BEACHWOOD | ||||||||
| State: | OH | ||||||||
| PostalCode: | 441225429 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2168316466 | ||||||||
| FaxNumber: | 2167666084 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/01/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YP2500X | C7980 | OH | Y | Behavioral Health & Social Service Providers | Counselor | Professional |
No ID Information.