Provider Demographics
NPI:1699332452
Name:TURNBOW, WENDY SUE (PHD)
Entity type:Individual
Prefix:DR
First Name:WENDY
Middle Name:SUE
Last Name:TURNBOW
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1786 E 9800 S
Mailing Address - Street 2:
Mailing Address - City:SANDY
Mailing Address - State:UT
Mailing Address - Zip Code:84092-3727
Mailing Address - Country:US
Mailing Address - Phone:801-560-1202
Mailing Address - Fax:
Practice Address - Street 1:1308 S 1600 W
Practice Address - Street 2:
Practice Address - City:MAPLETON
Practice Address - State:UT
Practice Address - Zip Code:84664-4221
Practice Address - Country:US
Practice Address - Phone:801-367-4345
Practice Address - Fax:801-489-3355
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-28
Last Update Date:2019-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT288567-2501103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist