Provider Demographics
NPI:1730700675
Name:WEN, HADLEY ATHERTON (PHD)
Entity type:Individual
Prefix:DR
First Name:HADLEY
Middle Name:ATHERTON
Last Name:WEN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:90 BEEKMAN ST APT 3H
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10038-1876
Mailing Address - Country:US
Mailing Address - Phone:917-336-8089
Mailing Address - Fax:
Practice Address - Street 1:90 BEEKMAN ST APT 3H
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10038-1876
Practice Address - Country:US
Practice Address - Phone:917-336-8089
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-05-01
Last Update Date:2024-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY023745103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical