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1366420630
WAYNE ALLEN BARDWELL
SAN DIEGO, CA
NPI
1366420630
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: CA PSY16112)
Enumeration Date
2006-01-05
Last Update Date
2022-07-21
Business Address
Dr. WAYNE ALLEN BARDWELL Ph.D.
1901 1ST AVE STE 212
SAN DIEGO, CA 92101-2382
Phone number: 619-356-0138
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Mailing Address
Dr. WAYNE ALLEN BARDWELL Ph.D.
1262 KETTNER BLVD UNIT 1101
SAN DIEGO, CA 92101-3459
Phone number: 619-356-0138
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