DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. ANDREA WAGNER

Active Sole Proprietor

DR. ANDREA WAGNER is a Forensic Psychologist healthcare provider located in NEWPORT BEACH, California. NPI 1366995078 is currently active in the NPPES registry. Verify at CMS.

Forensic Psychologist · NEWPORT BEACH, CA

Registration Details

NPI Number
1366995078
Provider Type
Individual
Gender
Female
NPI Issued
Jul 28, 2016 (10.091287456532 yrs)
Last Updated
May 23, 2024
License
32730 (CA)
Sole Proprietor
Yes

Practice Information

Address
456 OLD NEWPORT BLVD
NEWPORT BEACH, CA, 926634211
Browse CA providers · Browse ZIP 92663
Phone
9494478257
Primary Specialty
Forensic Psychologist
103TF0200X
Additional Specialty
Forensic Psychologist
Additional Specialty
Clinical Psychologist

Other Forensic Psychologist Providers in NEWPORT BEACH, CA

Name Credential NPI
DR. SARAH MCINTOSH PSY.D. 1396066684
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.