Basic Information
| Provider Information | |||||||||
| NPI: | 1841738176 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | SCHIRVAR | ||||||||
| FirstName: | WENDI | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | PHD, LP, NCSP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 17468 SLIPPER SHELL WAY UNIT 4 | ||||||||
| Address2: | |||||||||
| City: | LEWES | ||||||||
| State: | DE | ||||||||
| PostalCode: | 199586316 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6514420385 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 17468 SLIPPER SHELL WAY UNIT 4 | ||||||||
| Address2: | |||||||||
| City: | LEWES | ||||||||
| State: | DE | ||||||||
| PostalCode: | 199586316 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6124708166 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/07/2017 | ||||||||
| LastUpdateDate: | 12/29/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 12/29/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 103TC2200X | B1-0011242 | DE | Y | 193200000X MULTI-SPECIALTY GROUP | Behavioral Health & Social Service Providers | Psychologist | Clinical Child & Adolescent |
No ID Information.