Wise, Christy

Wise, Christy is an individual health care provider with primary practice located at 1104 Camino Del Mar Suite 107, Del Mar CA 92014-2656. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Forensic. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Wise, Christy can be contacted via phone (877) 880-7337.

Contact Information

Primary practice address
1104 Camino Del Mar Suite 107 Del Mar CA 92014-2656
Phone: (877) 880-7337
Fax: (858) 923-1121
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY19841 California
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X PSY19841 California
Behavioral Health & Social Service Providers / Forensic 103TF0200X PSY19841 California

Profile Details

NPI number 1407839012
LBN Legal business name Wise, Christy
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 29th, 2005
Last updated Jan 17th, 2012 - about 12 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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Identifiers

StateTypeNumberIssuer
All States NPI 1407839012 NPPES
California Other 11521017 CAQH

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