Individual
JACQUELINE HANSON WHEELER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
2444 WILSHIRE BLVD STE 620, SANTA MONICA, CA 90403-5828
(424) 281-9433
Mailing address
1234 2ND ST, MANHATTAN BEACH, CA 90266-6837
(310) 804-4998
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
94026263
CA
103T00000X
Psychologist
NA
—
103T00000X
Psychologist
—
CA
Other
Enumeration date
12/05/2024
Last updated
12/05/2024
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