Wendy W Branton, PH.D., LICENSED PSYC
Individual provider Active NPI Psychologist · Wayne, PA
NPI 1225259799 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1225259799
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychologist 103T00000X
- License
- PS-004763-L (PA)
- Practice address
- 122 Walnut Ave
Wayne, PA 19087-3421 - Phone
- (610) 293-0177
- NPI assigned
- May 1, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS-004763-L | PA | MD | Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PS-004763-L | PA | Yes |
Addresses
Primary practice location
122 Walnut Ave
Wayne, PA 19087-3421
Mailing address
122 Walnut Ave
Wayne, PA 19087-3421
Phone (610) 293-0177
Other providers in Wayne, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.