Provider Demographics
NPI:1346039138
Name:PERRY, WENDY LYNN (LPC)
Entity type:Individual
Prefix:
First Name:WENDY
Middle Name:LYNN
Last Name:PERRY
Suffix:
Gender:
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1165 NW 17TH ST
Mailing Address - Street 2:
Mailing Address - City:NEWCASTLE
Mailing Address - State:OK
Mailing Address - Zip Code:73065-9707
Mailing Address - Country:US
Mailing Address - Phone:405-250-4974
Mailing Address - Fax:405-250-4974
Practice Address - Street 1:1165 NW 17TH ST
Practice Address - Street 2:
Practice Address - City:NEWCASTLE
Practice Address - State:OK
Practice Address - Zip Code:73065-9707
Practice Address - Country:US
Practice Address - Phone:405-250-4974
Practice Address - Fax:405-250-4974
Is Sole Proprietor?:No
Enumeration Date:2025-05-06
Last Update Date:2025-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK2278101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional