Individual
PHILIP ANDREW WENK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MBA
Contact information
Practice address
919 2ND ST NE, CANTON, OH 44704-1132
(330) 454-7917
Mailing address
7325 SOM CENTER RD, SOLON, OH 44139-4905
(440) 248-4185
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
—
Other
Enumeration date
12/19/2012
Last updated
12/19/2012
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