Provider Demographics
NPI:1215248190
Name:SPRAYBERRY, WENDY B (LPC)
Entity type:Individual
Prefix:
First Name:WENDY
Middle Name:B
Last Name:SPRAYBERRY
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:705 WANDA DR
Mailing Address - Street 2:
Mailing Address - City:OXFORD
Mailing Address - State:AL
Mailing Address - Zip Code:36203-1437
Mailing Address - Country:US
Mailing Address - Phone:256-282-3989
Mailing Address - Fax:
Practice Address - Street 1:705 WANDA DR
Practice Address - Street 2:
Practice Address - City:OXFORD
Practice Address - State:AL
Practice Address - Zip Code:36203-1437
Practice Address - Country:US
Practice Address - Phone:256-282-3989
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-25
Last Update Date:2010-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2825101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL2825OtherALABAMA BOARD OF EXAMINERS IN COUNSELING