CRAIG PHILLIP WAGNER

BREA, CA
NPI1588211437
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: CA  16195)
Enumeration Date2019-08-23
Last Update Date2019-08-23
Business Address
CRAIG PHILLIP WAGNER Ph.D.
555 POINTE DR STE 314
BREA, CA 92821-3651
Phone number: 714-672-9470
Mailing Address
CRAIG PHILLIP WAGNER Ph.D.
555 POINTE DR STE 314
BREA, CA 92821-3651
Phone number: 714-672-9470
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