ERICA WAGENER

SANTA ROSA, CA
NPI1326185463
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: CA  PSB31542)
Enumeration Date2007-01-30
Last Update Date2007-09-12
Business Address
-- ERICA WAGENER psy.d.
401 BICENTENNIAL WAY
SANTA ROSA, CA 95403-2149
Phone number: 707-571-3753
Mailing Address
-- ERICA WAGENER psy.d.
3650 STANDISH AVE
SANTA ROSA, CA 95407-8113
Phone number: 707-585-6108