Individual
MS. WENDY J TERWILLIGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA PSYCHOLOGIST
Contact information
Practice address
1008 S 5TH AVE, SUITE 102, CLARION, PA 16214-8676
(412) 370-4891
Mailing address
PO BOX 98, FISHER, PA 16225-0198
(412) 370-4891
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS006309L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007071710
—
PA
05
—
2257883
—
OH
Enumeration date
11/15/2006
Last updated
02/23/2012
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