Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. LUCAS BOSCO WANGA, PH.D.
Active Sole ProprietorDR. LUCAS BOSCO WANGA, PH.D. is a Cognitive & Behavioral Psychologist healthcare provider located in ST. PAUL, Minnesota. NPI 1881015253 is currently active in the NPPES registry. Verify at CMS.
Cognitive & Behavioral Psychologist · ST. PAUL, MN
Registration Details
- NPI Number
- 1881015253
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 2, 2014 (12.627178650874 yrs)
- Last Updated
- Jan 2, 2014
- Licenses
-
362637 (MN)362637 (MN)362637 (MN)362637 (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
715 EDGERTON STREETMERRICK COMMUNITY SERVICESST. PAUL, MN, 55130Browse MN providers · Browse ZIP 55130
- Phone
- 6123601966
- Primary Specialty
-
Cognitive & Behavioral Psychologist
103TB0200X
- Additional Specialty
- Child, Clinical Psychologist
- Additional Specialty
- Organizational & Business Psychologist
- Additional Specialty
- School Psychologist
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.