Provider Demographics
NPI:1215123203
Name:WENDLING, CARALYN MARIE (MS)
Entity type:Individual
Prefix:MRS
First Name:CARALYN
Middle Name:MARIE
Last Name:WENDLING
Suffix:
Gender:F
Credentials:MS
Other - Prefix:MS
Other - First Name:CARALYN
Other - Middle Name:MARIE
Other - Last Name:WEST
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS
Mailing Address - Street 1:610 INDIAN BEAD RD
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:IN
Mailing Address - Zip Code:47909-8900
Mailing Address - Country:US
Mailing Address - Phone:574-398-8944
Mailing Address - Fax:
Practice Address - Street 1:1435 WIN HENTSCHEL BLVD STE B122
Practice Address - Street 2:
Practice Address - City:WEST LAFAYETTE
Practice Address - State:IN
Practice Address - Zip Code:47906-4147
Practice Address - Country:US
Practice Address - Phone:574-398-8944
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-24
Last Update Date:2024-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN39002273A101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health