Provider Demographics
NPI:1861233272
Name:CHARD, WENDY JO
Entity type:Individual
Prefix:
First Name:WENDY
Middle Name:JO
Last Name:CHARD
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 1:4485 N 3800 W
Mailing Address - Street 2:
Mailing Address - City:MORGAN
Mailing Address - State:UT
Mailing Address - Zip Code:84050-9403
Mailing Address - Country:US
Mailing Address - Phone:801-645-2583
Mailing Address - Fax:
Practice Address - Street 1:4485 N 3800 W
Practice Address - Street 2:
Practice Address - City:MORGAN
Practice Address - State:UT
Practice Address - Zip Code:84050-9403
Practice Address - Country:US
Practice Address - Phone:801-645-2583
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-03
Last Update Date:2024-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical