Provider Demographics
NPI:1174802599
Name:WENDT, RICHARD LEE (LMFT)
Entity type:Individual
Prefix:MR
First Name:RICHARD
Middle Name:LEE
Last Name:WENDT
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2333 W WHITENDALE AVE STE D
Mailing Address - Street 2:
Mailing Address - City:VISALIA
Mailing Address - State:CA
Mailing Address - Zip Code:93277-8701
Mailing Address - Country:US
Mailing Address - Phone:559-741-3864
Mailing Address - Fax:559-384-3139
Practice Address - Street 1:2333 W WHITENDALE AVE STE D
Practice Address - Street 2:
Practice Address - City:VISALIA
Practice Address - State:CA
Practice Address - Zip Code:93277-8701
Practice Address - Country:US
Practice Address - Phone:559-741-3864
Practice Address - Fax:559-384-3139
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-16
Last Update Date:2019-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAIMF 71302106H00000X
CALMFT94478106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist