Provider Demographics
NPI:1366142036
Name:ASPLUND, WENDLA LUVERNE
Entity type:Individual
Prefix:
First Name:WENDLA
Middle Name:LUVERNE
Last Name:ASPLUND
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1200 COURT PL
Mailing Address - Street 2:
Mailing Address - City:COLBY
Mailing Address - State:KS
Mailing Address - Zip Code:67701-3618
Mailing Address - Country:US
Mailing Address - Phone:970-640-7068
Mailing Address - Fax:
Practice Address - Street 1:1200 COURT PL
Practice Address - Street 2:
Practice Address - City:COLBY
Practice Address - State:KS
Practice Address - Zip Code:67701-3618
Practice Address - Country:US
Practice Address - Phone:970-640-7068
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-09
Last Update Date:2023-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician