Provider Demographics
NPI:1942403977
Name:SOMERSET, WENDY IRWIN (MD)
Entity type:Individual
Prefix:
First Name:WENDY
Middle Name:IRWIN
Last Name:SOMERSET
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2509 BARRINGTON CIR
Mailing Address - Street 2:SUITE 111
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32308-6800
Mailing Address - Country:US
Mailing Address - Phone:850-766-8965
Mailing Address - Fax:
Practice Address - Street 1:2509 BARRINGTON CIR
Practice Address - Street 2:SUITE 111
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32308-6800
Practice Address - Country:US
Practice Address - Phone:850-766-8965
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME958352084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry