Provider Demographics
NPI:1730601204
Name:MARASKA, WENDY ANNE (MS ED)
Entity type:Individual
Prefix:MS
First Name:WENDY
Middle Name:ANNE
Last Name:MARASKA
Suffix:
Gender:F
Credentials:MS ED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 N FRANKLIN ST STE 102
Mailing Address - Street 2:
Mailing Address - City:DOYLESTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18901-3536
Mailing Address - Country:US
Mailing Address - Phone:215-622-2659
Mailing Address - Fax:855-854-5412
Practice Address - Street 1:16 N FRANKLIN ST STE 102
Practice Address - Street 2:
Practice Address - City:DOYLESTOWN
Practice Address - State:PA
Practice Address - Zip Code:18901-3536
Practice Address - Country:US
Practice Address - Phone:215-622-2659
Practice Address - Fax:855-854-5412
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-17
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1942619481Medicaid