Derek Wangberg is a Clinical in Norwalk, California. Derek Wangberg practices all healthcare services and medical treatments related to Clinical. The NPI Number for Derek Wangberg is 1700911666. The last update date is 2013-07-24.
Derek Wangberg's current location address is 11401 Bloomfield, Norwalk, California. You can contact this provider via phone number 7145695117 and fax number 9494297791. The mailing address for Derek Wangberg is 11401 Bloomfield, Norwalk, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Derek Wangberg |
|---|---|
| Address | 11401 Bloomfield, Norwalk, California |
| Phone Number | 7145695117 |
| Fax Number | 9494297791 |
| Sole Proprietor | Y |
| Credentials | PSY.D. |
NPI Number Detail
| NPI Number | 1700911666 |
|---|---|
| Provider Enumeration Date | 2007-02-22 |
| Last Updated Date | 2013-07-24 |
Provider Mailing Address Detail
| Address | 11401 Bloomfield |
|---|---|
| City | Norwalk |
| State | California (CA) |
| Post Code | 90650 |
| Phone Number | 7145695117 |
| Fax Number | 9494297791 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PSY 21059 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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What is the unique provider identifier assigned to Derek Wangberg?
The Derek Wangberg has been issued the NPI (National Provider Identifier) 1700911666 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Derek Wangberg's physical address?
The Derek Wangberg is physically located at 11401 Bloomfield, in the city of Norwalk, CA, with the postal code 90650.
What is Derek Wangberg's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Derek Wangberg is Clinical, and the taxonomy classification code that categorizes this area of expertise is 103Tc0700X.
On what date was the 1700911666 assigned to Derek Wangberg?
The Derek Wangberg was issued its 1700911666 on 2007-02-22, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Derek Wangberg most recently updated?
The details pertaining to the Derek Wangberg, including its address, specialty, and other relevant information, were last refreshed on 2013-07-24.