Provider Demographics
NPI:1316254055
Name:SEED, WENDY NICOL (M ED)
Entity type:Individual
Prefix:
First Name:WENDY
Middle Name:NICOL
Last Name:SEED
Suffix:
Gender:F
Credentials:M ED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:420 W. MAIN STREET
Mailing Address - Street 2:
Mailing Address - City:KENT
Mailing Address - State:OH
Mailing Address - Zip Code:44240-2208
Mailing Address - Country:US
Mailing Address - Phone:330-677-2000
Mailing Address - Fax:330-548-0039
Practice Address - Street 1:420 W MAIN ST
Practice Address - Street 2:
Practice Address - City:KENT
Practice Address - State:OH
Practice Address - Zip Code:44240-2208
Practice Address - Country:US
Practice Address - Phone:330-677-2000
Practice Address - Fax:330-548-0039
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-01
Last Update Date:2010-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHC0700336101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional