Kristine Tiffany Wagner in Temecula - Clinical Neuropsychologist
Kristine Tiffany Wagner - NPI 1902837255
Kristine Tiffany Wagner is a Clinical Neuropsychologist in Temecula, California. Kristine Tiffany Wagner practices all healthcare services and medical treatments related to Clinical Neuropsychologist. The NPI Number for Kristine Tiffany Wagner is 1902837255. The last update date is 2007-07-08.
Kristine Tiffany Wagner's current location address is Po Box 892143, Temecula, California. You can contact this provider via phone number 9516957400 and fax number 9516957144. The mailing address for Kristine Tiffany Wagner is Po Box 892143, Temecula, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kristine Tiffany Wagner |
|---|---|
| Address | Po Box 892143, Temecula, California |
| Phone Number | 9516957400 |
| Fax Number | 9516957144 |
| Sole Proprietor | N |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1902837255 |
|---|---|
| Provider Enumeration Date | 2006-07-05 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | Po Box 892143 |
|---|---|
| City | Temecula |
| State | California (CA) |
| Post Code | 925892143 |
| Phone Number | 9516957400 |
| Fax Number | 9516957144 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Neuropsychologist |
|---|---|
| Taxonomy | 103G00000X |
| Licence No | PSY18320 |
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Definition: A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing th |
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Post Comment/ Review Below
What is the Kristine Tiffany Wagner's unique identification number?
The Kristine Tiffany Wagner has been assigned the NPI (National Provider Identifier) Number 1902837255 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete physical address where Kristine Tiffany Wagner is located?
The Kristine Tiffany Wagner is situated at the following address: Po Box 892143, Temecula, CA, 925892143.
What is the Kristine Tiffany Wagner's area of specialization and corresponding taxonomy classification?
The Kristine Tiffany Wagner's specialty field is Clinical Neuropsychologist, and it falls under the taxonomy code 103G00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1902837255 to Kristine Tiffany Wagner?
The Kristine Tiffany Wagner received its 1902837255 assignment from the Centers for Medicare & Medicaid Services on 2006-07-05.
As of what date were the details related to Kristine Tiffany Wagner most recently updated or revised?
The information pertaining to Kristine Tiffany Wagner, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.