Joanne J. Wendt, Ph.D., Clinical Psychologist, Inc.
LBN: Joanne J. Wendt, Ph.D., Clinical Psychologist, Inc.
Joanne J. Wendt, Ph.D., Clinical Psychologist, Inc. is an health care organization with primary practice located at 12535 Camino Emparrado , San Diego CA 92128-1401. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as the primary health care specialty.
Joanne J. Wendt, Ph.D., Clinical Psychologist, Inc. can be contacted via phone (858) 674-4913, or through Wendt, Joanne Jean via phone (858) 674-4913.
Contact Information
Primary practice address
12535 Camino Emparrado
San Diego CA 92128-1401
Phone: (858) 674-4913
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | PSY15145 | California |
Profile Details
| NPI number | 1215910989 |
|---|---|
| LBN Legal business name | Joanne J. Wendt, Ph.D., Clinical Psychologist, Inc. |
| DBA Doing business as | |
| Authorized official | Wendt, Joanne Jean PH.D. |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 26th, 2005 |
| Last updated | Aug 22nd, 2020 - about 4 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215910989 | NPPES |
| California | Other | OPL151450 | BLUE SHIELD OF CA |
| California | Other | 184757 | BLUE SHIELD OF CA |
| California | MEDICAID | PSY151450 | BLUE SHIELD OF CA |
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