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

DR. PHYLIS JANE WAKEFIELD, PH.D.

Active Sole Proprietor

DR. PHYLIS JANE WAKEFIELD, PH.D. is a Addiction (Substance Use Disorder) Psychologist healthcare provider located in SONOMA, California. NPI 1811047780 is currently active in the NPPES registry. Verify at CMS.

Addiction (Substance Use Disorder) Psychologist · SONOMA, CA

Registration Details

NPI Number
1811047780
Provider Type
Individual
Gender
Female
NPI Issued
Jan 11, 2007 (19.580091732608 yrs)
Last Updated
Mar 3, 2010
Licenses
PSY14649 (CA)
PSY14649 (CA)
PSY14649 (CA)
PSY14649 (CA)
Sole Proprietor
Yes

Practice Information

Address
1151 BROADWAY
SUITE 202
SONOMA, CA, 954767571
Browse CA providers · Browse ZIP 95476
Phone
7707222624
Additional Specialty
Clinical Psychologist
Additional Specialty
Geriatric Psychologist

Other Addiction (Substance Use Disorder) Psychologist Providers in SONOMA, CA

Name Credential NPI
GINA RACHELLE SPRADLING 1407674377
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.