# DR. PHYLIS JANE WAKEFIELD

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1811047780
- **Gender:** F
- **Credential:** PH.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TA0400X | Addiction (Substance Use Disorder) Psychologist | PSY14649 | CA | Yes |
| 103TB0200X | Cognitive & Behavioral Psychologist | PSY14649 | CA | — |
| 103TC0700X | Clinical Psychologist | PSY14649 | CA | — |
| 103TP2701X | Group Psychotherapy Psychologist | PSY14649 | CA | — |

## Other

- **Enumeration date:** 01/11/2007
- **Last updated:** 03/03/2010