Wendy Jo Murray
Individual provider Active NPI Counselor · Olivet, MI
NPI 1295546398 · NPPES record last updated Jan 17, 2025
Key facts
- NPI
- 1295546398
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- License
- 6451023385 (MI)
- Practice address
- 4032 Ryon Dr
Olivet, MI 49076-8400 - Phone
- (517) 983-8418
- NPI assigned
- Jan 17, 2025
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6451023385 | MI | MD | Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 6451023385 | MI | Yes |
Addresses
Primary practice location
4032 Ryon Dr
Olivet, MI 49076-8400
Mailing address
4032 Ryon Dr
Olivet, MI 49076-8400
Phone (517) 983-8418
Other providers in Olivet, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 17, 2025. 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.