| Joanne J. Wendt, Ph.d., Clinical Psychologist, Inc. | |
|
12535 Camino Emparrado San Diego CA 92128-1401 | |
| (858) 674-4913 | |
| Not Available |
| Full Name | Joanne J. Wendt, Ph.d., Clinical Psychologist, Inc. |
|---|---|
| Speciality | Psychologist |
| Location | 12535 Camino Emparrado, San Diego, California |
| Authorized Official Name and Position | Joanne Jean Wendt (CEO/OWNER) |
| Authorized Official Contact | 8586744913 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Joanne J. Wendt, Ph.d., Clinical Psychologist, Inc. 12535 Camino Emparrado San Diego CA 92128-1401 Ph: (858) 674-4913 | Joanne J. Wendt, Ph.d., Clinical Psychologist, Inc. 12535 Camino Emparrado San Diego CA 92128-1401 Ph: (858) 674-4913 |
| NPI Number | 1215910989 |
|---|---|
| Provider Enumeration Date | 11/26/2005 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215910989 | NPI | - | NPPES |
| OPL151450 | Other | CA | BLUE SHIELD OF CA |
| 184757 | Other | CA | MANAGED HEALTH NETWORK |
| PSY151450 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PSY15145 (California) | Primary |
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