THE WAKE KENDALL GROUP, PLLC

Provider Demographics

• NPI: 1144465816
• Name: THE WAKE KENDALL GROUP, PLLC
• Entity type: Organization
• Organization Name: THE WAKE KENDALL GROUP, PLLC
• Other - Org Name: <UNAVAIL>
• Authorized Official - Title/Position: PARTNER/PSYCHOLOGIST
• Authorized Official - Prefix: DR
• Authorized Official - First Name: JANELL
• Authorized Official - Last Name: SCHWEICKERT
• Authorized Official - Credentials: PHD
• Authorized Official - Phone: 202-686-7699
• Mailing Address - Street 1: 5247 WISCONSIN AVE NW
• Mailing Address - Street 2: SUITE 4
• Mailing Address - City: WASHINGTON
• Mailing Address - State: DC
• Mailing Address - Zip Code: 20015-2012
• Mailing Address - Country: US
• Mailing Address - Phone: 202-686-7699
• Mailing Address - Fax: 202-362-9633
• Practice Address - Street 1: 5247 WISCONSIN AVE NW
• Practice Address - Street 2: SUITE 4
• Practice Address - City: WASHINGTON
• Practice Address - State: DC
• Practice Address - Zip Code: 20015-2012
• Practice Address - Country: US
• Practice Address - Phone: 202-686-7699
• Practice Address - Fax: 202-362-9633
• EIN: <UNAVAIL>
• Is Organization Subpart?: No
• Enumeration Date: 2008-12-10
• Last Update Date: 2008-12-10

Provider Taxonomies

Primary?	Code	Type	Classification	Specialization	Group
Yes	103TC0700X	Behavioral Health & Social Service Providers	Psychologist	Clinical	Group - Multi-Specialty
No	101YP2500X	Behavioral Health & Social Service Providers	Counselor	Professional	Group - Multi-Specialty
No	103G00000X	Behavioral Health & Social Service Providers	Clinical Neuropsychologist		Group - Multi-Specialty
No	103T00000X	Behavioral Health & Social Service Providers	Psychologist		Group - Multi-Specialty
No	103TA0700X	Behavioral Health & Social Service Providers	Psychologist	Adult Development & Aging	Group - Multi-Specialty
No	103TB0200X	Behavioral Health & Social Service Providers	Psychologist	Cognitive & Behavioral	Group - Multi-Specialty
No	103TC2200X	Behavioral Health & Social Service Providers	Psychologist	Clinical Child & Adolescent	Group - Multi-Specialty
No	103TF0000X	Behavioral Health & Social Service Providers	Psychologist	Family	Group - Multi-Specialty
No	103TM1800X	Behavioral Health & Social Service Providers	Psychologist	Intellectual & Developmental Disabilities	Group - Multi-Specialty
No	103TP2701X	Behavioral Health & Social Service Providers	Psychologist	Group Psychotherapy	Group - Multi-Specialty
No	103TS0200X	Behavioral Health & Social Service Providers	Psychologist	School	Group - Multi-Specialty
No	104100000X	Behavioral Health & Social Service Providers	Social Worker		Group - Multi-Specialty
No	1041C0700X	Behavioral Health & Social Service Providers	Social Worker	Clinical	Group - Multi-Specialty
No	106H00000X	Behavioral Health & Social Service Providers	Marriage & Family Therapist		Group - Multi-Specialty