Organization
JOANNE J. WENDT, PH.D., CLINICAL PSYCHOLOGIST, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOANNE JEAN WENDT PH.D. (CEO/OWNER)
(858) 674-4913
Entity
Organization
Contact information
Practice address
12535 CAMINO EMPARRADO, SAN DIEGO, CA 92128-1401
(858) 674-4913
Mailing address
12535 CAMINO EMPARRADO, SAN DIEGO, CA 92128-1401
(858) 674-4913
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY15145
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
184757
MANAGED HEALTH NETWORK
CA
01
—
OPL151450
BLUE SHIELD OF CA
CA
05
—
PSY151450
—
CA
Enumeration date
11/26/2005
Last updated
08/22/2020
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