Provider Demographics
NPI:1124297239
Name:DOYON, WENDY L (LCSW)
Entity type:Individual
Prefix:MRS
First Name:WENDY
Middle Name:L
Last Name:DOYON
Suffix:
Gender:
Credentials:LCSW
Other - Prefix:
Other - First Name:WENDY
Other - Middle Name:L
Other - Last Name:SMITH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:36 CHESTNUT ST APT 515
Mailing Address - Street 2:
Mailing Address - City:LEWISTON
Mailing Address - State:ME
Mailing Address - Zip Code:04240-8073
Mailing Address - Country:US
Mailing Address - Phone:207-520-3267
Mailing Address - Fax:207-520-3267
Practice Address - Street 1:145 LISBON ST STE 106
Practice Address - Street 2:
Practice Address - City:LEWISTON
Practice Address - State:ME
Practice Address - Zip Code:04240-7235
Practice Address - Country:US
Practice Address - Phone:207-520-3267
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-22
Last Update Date:2025-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MELC74281041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical