Individual
DANIELLE WIGGINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
220 BAY ST APT 105, SANTA MONICA, CA 90405-1027
(917) 242-2735
Mailing address
220 BAY ST APT 105, SANTA MONICA, CA 90405-1027
(917) 242-2735
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
08/12/2024
Last updated
08/12/2024
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