| Derek K. Wangberg A Psychological Corporation | |
|
211 Indianapolis Ave Huntington Beach CA 92648-4322 | |
| (714) 369-5117 | |
| Not Available |
| Full Name | Derek K. Wangberg A Psychological Corporation |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 211 Indianapolis Ave, Huntington Beach, California |
| Authorized Official Name and Position | Derek Kevin Wangberg (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 7143695117 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Derek K. Wangberg A Psychological Corporation 211 Indianapolis Ave Huntington Beach CA 92648-4322 Ph: (714) 369-5117 | Derek K. Wangberg A Psychological Corporation 211 Indianapolis Ave Huntington Beach CA 92648-4322 Ph: (714) 369-5117 |
| NPI Number | 1659518835 |
|---|---|
| Provider Enumeration Date | 01/09/2009 |
| Last Update Date | 01/09/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659518835 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PSY21059 (California) | Primary |
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