Provider Demographics
NPI:1861798589
Name:SIMS, WENDY (PHD)
Entity type:Individual
Prefix:DR
First Name:WENDY
Middle Name:
Last Name:SIMS
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8788 STATE ROAD 70 E STE 101
Mailing Address - Street 2:
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34202-3705
Mailing Address - Country:US
Mailing Address - Phone:941-205-7150
Mailing Address - Fax:941-233-7150
Practice Address - Street 1:8788 STATE ROAD 70 E STE 101
Practice Address - Street 2:
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34202-3705
Practice Address - Country:US
Practice Address - Phone:941-205-7150
Practice Address - Fax:941-233-7150
Is Sole Proprietor?:No
Enumeration Date:2011-01-27
Last Update Date:2025-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY8217103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical