| Andrea M Wagner Psychologist Pc | |
|
456 Old Newport Blvd Newport Beach CA 92663-4211 | |
| (949) 780-9025 | |
| Not Available |
| Full Name | Andrea M Wagner Psychologist Pc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 456 Old Newport Blvd, Newport Beach, California |
| Authorized Official Name and Position | Andrea Marie Wagner (PROVIDER) |
| Authorized Official Contact | 9494478257 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Andrea M Wagner Psychologist Pc 456 Old Newport Blvd Newport Beach CA 92663-4211 Ph: (949) 447-8257 | Andrea M Wagner Psychologist Pc 456 Old Newport Blvd Newport Beach CA 92663-4211 Ph: (949) 780-9025 |
| NPI Number | 1770314270 |
|---|---|
| Provider Enumeration Date | 08/08/2024 |
| Last Update Date | 11/06/2024 |
| Certification Date | 11/06/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770314270 | NPI | - | NPPES |
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