Wayne Allen Bardwell in San Diego - Clinical
Wayne Allen Bardwell - NPI 1366420630
Wayne Allen Bardwell is a Clinical in San Diego, California. Wayne Allen Bardwell practices all healthcare services and medical treatments related to Clinical. The NPI Number for Wayne Allen Bardwell is 1366420630. The last update date is 2022-07-21.
Wayne Allen Bardwell's current location address is 1262 Kettner Blvd Unit 1101, San Diego, California. You can contact this provider via phone number 6193560138. The mailing address for Wayne Allen Bardwell is 1262 Kettner Blvd Unit 1101, San Diego, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Wayne Allen Bardwell |
|---|---|
| Address | 1262 Kettner Blvd Unit 1101, San Diego, California |
| Phone Number | 6193560138 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1366420630 |
|---|---|
| Provider Enumeration Date | 2006-01-05 |
| Last Updated Date | 2022-07-21 |
Provider Mailing Address Detail
| Address | 1262 Kettner Blvd Unit 1101 |
|---|---|
| City | San Diego |
| State | California (CA) |
| Post Code | 921013459 |
| Phone Number | 6193560138 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PSY16112 |
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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 10-digit identification code assigned to Wayne Allen Bardwell by the Centers for Medicare & Medicaid Services?
The Wayne Allen Bardwell has been issued the NPI (National Provider Identifier) 1366420630, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Wayne Allen Bardwell is physically located?
The Wayne Allen Bardwell is physically situated at the following address: 1262 Kettner Blvd Unit 1101, San Diego, CA, 921013459.
What is Wayne Allen Bardwell's area of expertise and its corresponding taxonomy classification?
The Wayne Allen Bardwell's field of specialization is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1366420630 to Wayne Allen Bardwell?
The Wayne Allen Bardwell received its 1366420630 assignment from the Centers for Medicare & Medicaid Services on 2006-01-05.
As of what date were the Wayne Allen Bardwell's details last updated?
The information pertaining to the Wayne Allen Bardwell, including its address, specialty, and other details, was most recently updated on 2022-07-21.