Wagner, Kristine Tiffany
Wagner, Kristine Tiffany is an individual health care provider with primary practice located at 27393 Ynez Rd Suite 153, Temecula CA 92591-5604. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Neuropsychologist, which is considered as her primary health care specialty. Wagner, Kristine Tiffany can be contacted via phone (951) 695-7400.Contact Information
Primary practice address
27393 Ynez Rd Suite 153
Temecula CA 92591-5604
Phone: (951) 695-7400
Fax: (951) 695-7144
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | PSY18320 | California |
Profile Details
| NPI number | 1902837255 |
|---|---|
| LBN Legal business name | Wagner, Kristine Tiffany |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 5th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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