# WENDY BLUMENTHAL, PH.D.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225214877
- **Authorized official:** DR. WENDY BLUMENTHAL, PH.D. PH.D. (PRESIDENT)
- **Authorized official phone:** (941) 745-5111

## Contact information

- **Practice address:** 3823 E STATE ROAD 64, BRADENTON, FL 34208-9041
- **Practice address phone:** (941) 745-5111
- **Practice address fax:** (941) 745-5667
- **Mailing address:** 3823 E STATE ROAD 64, BRADENTON, FL 34208-9041
- **Mailing address phone:** (941) 745-5111
- **Mailing address fax:** (941) 745-5667

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | 9317 | FL | Yes |

## Other

- **Enumeration date:** 01/14/2008
- **Last updated:** 10/05/2016