Provider Demographics
NPI:1750588638
Name:RITCHEY, WENDY L (PHD)
Entity type:Individual
Prefix:DR
First Name:WENDY
Middle Name:L
Last Name:RITCHEY
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 1:1280 BOULEVARD WAY
Mailing Address - Street 2:SUITE 201
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94595-1125
Mailing Address - Country:US
Mailing Address - Phone:925-938-7511
Mailing Address - Fax:925-938-7692
Practice Address - Street 1:1280 BOULEVARD WAY
Practice Address - Street 2:SUITE 201
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94595-1125
Practice Address - Country:US
Practice Address - Phone:925-938-7511
Practice Address - Fax:925-938-7692
Is Sole Proprietor?:No
Enumeration Date:2007-07-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY8589103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist