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Contact Information

L S WENCK, EDD, HSPP
3111 W JACKSON ST
MUNCIE, IL47304-4371
 Phone: 765-284-0879
 Fax: 765-284-1480
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Counseling

103TC1900X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for L S WENCK · (Male)

NPI Number 1285747592
Status Active
Credentials EDD, HSPP
Entity Individual
Enumeration date 08/17/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • IN License # 20090044A
  • IN Medicaid 100333800
  • IN Other 000000186180 ANTHEM BCBS
  • IN Other 344574000 MAGELLAN
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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