Provider Demographics
NPI:1992913420
Name:RAPAPORT, WENDY SATIN (PSYD LCSW)
Entity type:Individual
Prefix:DR
First Name:WENDY
Middle Name:SATIN
Last Name:RAPAPORT
Suffix:
Gender:F
Credentials:PSYD LCSW
Other - Prefix:
Other - First Name:WENDY
Other - Middle Name:
Other - Last Name:SATIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7301 W PALMETTO PARK RD
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33433-3458
Mailing Address - Country:US
Mailing Address - Phone:561-477-8595
Mailing Address - Fax:561-477-4848
Practice Address - Street 1:7301 W PALMETTO PARK RD
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33434
Practice Address - Country:US
Practice Address - Phone:561-477-8595
Practice Address - Fax:561-477-4848
Is Sole Proprietor?:No
Enumeration Date:2007-05-18
Last Update Date:2007-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY0004526103TC0700X
MEPY00045261041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical