Mcentyre, Wanda

Mcentyre, Wanda is an individual health care provider with primary practice located at 1145 Olentangy River Rd Fl 1 , Columbus OH 43212-3117. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Rehabilitation. Behavioral Health & Social Service Providers / Rehabilitation is her primary health care specialty. Mcentyre, Wanda can be contacted via phone (614) 366-8700.

Contact Information

Primary practice address
1145 Olentangy River Rd Fl 1 Columbus OH 43212-3117
Phone: (614) 366-8700
Fax: (614) 293-7264
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 3889 Ohio
Behavioral Health & Social Service Providers / Rehabilitation 103TR0400X 3889 Ohio

Profile Details

NPI number 1124039847
LBN Legal business name Mcentyre, Wanda
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2006
Last updated Feb 4th, 2021 - about 3 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 1124039847 NPPES
Ohio MEDICAID 0805810

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