Provider Demographics
NPI:1700096138
Name:CRANE, WENDY ELIZABETH (EDS, LMFT)
Entity type:Individual
Prefix:MRS
First Name:WENDY
Middle Name:ELIZABETH
Last Name:CRANE
Suffix:
Gender:F
Credentials:EDS, LMFT
Other - Prefix:
Other - First Name:WENDY
Other - Middle Name:CRANE
Other - Last Name:HAMRICK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:EDS, LMFT
Mailing Address - Street 1:1215 NORWOOD PL
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32804-6725
Mailing Address - Country:US
Mailing Address - Phone:407-739-4267
Mailing Address - Fax:
Practice Address - Street 1:200 WAYMONT CT STE 126
Practice Address - Street 2:
Practice Address - City:LAKE MARY
Practice Address - State:FL
Practice Address - Zip Code:32746-3413
Practice Address - Country:US
Practice Address - Phone:407-739-4267
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-23
Last Update Date:2024-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1981106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLZ031WOtherBLUE CROSS NON PPO PROVID