Wentworth and Associates PC

NPI #1306827191 in Utica, Michigan

Provider Information

NPI Number: 1306827191
Entity Type: Organization
Organization Name: Wentworth and Associates PC
Primary Specialty: Psychologist
Enumeration Date: Nov 8, 2005
Last Updated: Apr 6, 2009

Practice Location

Address: 11111 HALL RD
Address 2: SUITE 400
City: Utica
State: Michigan
ZIP Code: 48317-5711
Phone: (586) 997-3153

Authorized Official

Name: DR. LAWRENCE T. WENTWORTH, PH.D.
Title: PRESIDENT
Phone: (586) 997-3153

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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