Wendorf, Angela R

Wendorf, Angela R is an individual health care provider with primary practice located at 403 Belmont St , Worcester MA 01604-1019. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Wendorf, Angela R can be contacted via phone (413) 584-4040.

Contact Information

Primary practice address
403 Belmont St Worcester MA 01604-1019
Phone: (413) 584-4040
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 10177 Massachusetts
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 10177 Massachusetts
Behavioral Health & Social Service Providers / Clinical 103TC0700X 10177 Massachusetts

Profile Details

NPI number 1841672805
LBN Legal business name Wendorf, Angela R
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 25th, 2015
Last updated Feb 27th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841672805 NPPES
Massachusetts MEDICAID 110105680A
Massachusetts Other S400258076

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