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Organization
KIRK R. WACHTMANN, PH.D., APC
Active
Organization
KIRK R. WACHTMANN, PH.D., APC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIRK ROBERT WACHTMANN PH.D. (PRESIDENT)
(619) 977-6007
Entity
Organization
Contact information
Practice address
4060 FOURTH AVE, SUITE 615, SAN DIEGO, CA 92103-2116
(619) 977-6007
Mailing address
4060 FOURTH AVE, SUITE 615, SAN DIEGO, CA 92103-2116
(619) 977-6007
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY5830
CA
Other
Enumeration date
08/11/2008
Last updated
08/11/2008
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