Individual
WENDY ANN WADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
4500 PARK GLEN RD, SUITE 360, ST LOUIS PARK, MN 55416-4871
(952) 929-9478
(952) 929-9548
Mailing address
4500 PARK GLEN RD, SUITE 360, ST LOUIS PARK, MN 55416-4871
(952) 929-9478
(952) 929-9548
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP5259
MN
Other
Enumeration date
07/13/2010
Last updated
07/13/2010
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