Provider Demographics
NPI:1104610161
Name:LANXNER, WENDY WELLES (LPMT, MT-BC)
Entity type:Individual
Prefix:
First Name:WENDY
Middle Name:WELLES
Last Name:LANXNER
Suffix:
Gender:
Credentials:LPMT, MT-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:620 WOODSIDE PKWY
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20910-4248
Mailing Address - Country:US
Mailing Address - Phone:240-893-0480
Mailing Address - Fax:
Practice Address - Street 1:5301 TUCKERMAN LN
Practice Address - Street 2:
Practice Address - City:NORTH BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20852-3385
Practice Address - Country:US
Practice Address - Phone:202-686-8000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-07
Last Update Date:2025-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD00191225A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist