Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KRISTINE TIFFANY WAGNER, PH.D.
ActiveKRISTINE TIFFANY WAGNER, PH.D. is a Clinical Neuropsychologist healthcare provider located in TEMECULA, California. NPI 1902837255 is currently active in the NPPES registry. Verify at CMS.
Clinical Neuropsychologist · TEMECULA, CA
Registration Details
- NPI Number
- 1902837255
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 5, 2006 (20.152183067459 yrs)
- Last Updated
- Jul 8, 2007
- License
-
PSY18320 (CA)
Practice Information
- Address
-
27393 YNEZ RDSUITE 153TEMECULA, CA, 925915604Browse CA providers · Browse ZIP 92591
- Phone
- 9516957400
- Fax
- 9516957144
- Primary Specialty
-
Clinical Neuropsychologist
103G00000X
Other Clinical Neuropsychologist Providers in TEMECULA, CA
| Name | Credential | NPI |
|---|---|---|
| DR. JEREMY BLANK | PSY.D. | 1215260591 |
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.