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DR. L STANLEY WENCK EDD, HSPP

Counseling >> Psychologist >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1285747592

Individual Registrant:
DR. L STANLEY WENCK EDD, HSPP
Gender: M
Sole Proprietor

Location and contact information for practice:
3111 W JACKSON ST  MUNCIE, IL 47304-4371 US
Tel: 765-284-0879  Fax: 765-284-1480

Contact information for business:
3111 W JACKSON ST  MUNCIE, IL 47304-4371 US
Tel: 765-284-0879  Fax: 765-284-1480

Registration Information:
NPI: 1285747592
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103TC1900XBehavioral Health & Social Service Providers
Psychologist
Counseling
IN20090044A

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
100333800IN05
ANTHEM BCBS000000186180IN01
MAGELLAN344574000IN01




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