| Dr Bonnie Wagner | |
|
194 E Elm Ave Coalinga CA 93210-2800 | |
| (559) 234-2239 | |
| (559) 234-2239 |
| Full Name | Dr Bonnie Wagner |
|---|---|
| Speciality | Psychologist |
| Location | 194 E Elm Ave, Coalinga, California |
| Authorized Official Name and Position | Bonnie Wagner Wikler (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 5592342239 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Bonnie Wagner Po Box 1437 Coalinga CA 93210-8237 Ph: (559) 234-2239 | Dr Bonnie Wagner 194 E Elm Ave Coalinga CA 93210-2800 Ph: (559) 234-2239 |
| NPI Number | 1780994863 |
|---|---|
| Provider Enumeration Date | 10/07/2010 |
| Last Update Date | 10/07/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780994863 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
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