Provider Demographics
NPI:1306075247
Name:HUNTLEY, WENDY BRUNDAGE (LCSW)
Entity type:Individual
Prefix:MRS
First Name:WENDY
Middle Name:BRUNDAGE
Last Name:HUNTLEY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3528 HWY 9 SOUTH
Mailing Address - Street 2:SUITE 304
Mailing Address - City:HOWELL
Mailing Address - State:NJ
Mailing Address - Zip Code:07731-3345
Mailing Address - Country:US
Mailing Address - Phone:732-252-8615
Mailing Address - Fax:
Practice Address - Street 1:3528 HWY 9
Practice Address - Street 2:SUITE 304
Practice Address - City:HOWELL
Practice Address - State:NJ
Practice Address - Zip Code:07731-3345
Practice Address - Country:US
Practice Address - Phone:732-252-8615
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-07-14
Last Update Date:2009-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC003996001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical