| Kristine T. Wagner, Ph.d, Inc. | |
|
27393 Ynez Rd Suite 153 Temecula CA 92591-5604 | |
| (951) 695-7400 | |
| (951) 695-7144 |
| Full Name | Kristine T. Wagner, Ph.d, Inc. |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 27393 Ynez Rd, Temecula, California |
| Authorized Official Name and Position | Kristine Wagner (OWNER) |
| Authorized Official Contact | 9516957400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kristine T. Wagner, Ph.d, Inc. Po Box 892143 Temecula CA 92589-2143 Ph: () - | Kristine T. Wagner, Ph.d, Inc. 27393 Ynez Rd Suite 153 Temecula CA 92591-5604 Ph: (951) 695-7400 |
| NPI Number | 1558461749 |
|---|---|
| Provider Enumeration Date | 09/25/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558461749 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PSY18320 (California) | Primary |
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