Dr Lucas Bosco Wanga, PHD - Psychologist in St. Paul, MN

Dr Lucas Bosco Wanga, PHD is a Psychologist - Cognitive & Behavioral based in St. Paul, Minnesota. Dr Lucas Bosco Wanga is licensed to practice in Minnesota (license number 362637) and his current practice location is 715 Edgerton Street, Merrick Community Services, St. Paul, Minnesota. He can be reached at his office (for appointments etc.) via phone at (612) 360-1966.

NPI number for Dr Lucas Bosco Wanga is 1881015253 and his current mailing address is 1311 4th Street South East Suite 13531, Wanga & Associates, Minneapolis, Minnesota. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1881015253.

Contact Information

Dr Lucas Bosco Wanga, PHD
715 Edgerton Street, Merrick Community Services,
St. Paul, MN 55130
(612) 360-1966
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Lucas Bosco Wanga
GenderMale
SpecialityPsychologist - Cognitive & Behavioral
Location715 Edgerton Street, St. Paul, Minnesota
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1881015253
  • Provider Enumeration Date: 01/02/2014
  • Last Update Date: 01/02/2014

Medical Identifiers

Medical identifiers for Dr Lucas Bosco Wanga such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1881015253NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TB0200XPsychologist - Cognitive & Behavioral 362637 (Minnesota)Primary
103TC2200XPsychologist - Clinical Child & Adolescent 362637 (Minnesota)Secondary
103TM1800XPsychologist - Intellectual & Developmental Disabilities 362637 (Minnesota)Secondary
103TS0200XPsychologist - School 362637 (Minnesota)Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Lucas Bosco Wanga is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Lucas Bosco Wanga, PHD
1311 4th Street South East Suite 13531, Wanga & Associates,
Minneapolis, MN 55414

Ph: (612) 360-1966
Dr Lucas Bosco Wanga, PHD
715 Edgerton Street, Merrick Community Services,
St. Paul, MN 55130

Ph: (612) 360-1966

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