Most Relevant Information
Provider Data
| NPI Number: | 1003242561 |
| Provider Name: | LORI SUE WENIGER M.ED, NBCT |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: | 5947 |
Most Important Dates
| Enumeration Date: | 09/16/2013 |
| Last Updated: | 09/16/2013 |
Provider Practice Location
3222 CHARLES GRIFFIN DR
GARNET VALLEY
PA
190602209
Practice Location Phone/Fax
| Phone: | 3024384368 |
| Fax: |
Provider Mailing Location
3222 CHARLES GRIFFIN DR
GARNET VALLEY
PA
190602209
Provider Mailing Phone/Fax
| Phone: | 3024384368 |
| Fax: |