Individual
DR. LINDA MANS WAGENER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
180 N OAKLAND AVE, SCHOOL OF PSYCHOLOGY, PASADENA, CA 91101-1714
(626) 584-5603
(626) 584-9630
Mailing address
180 N OAKLAND AVE, SCHOOL OF PSYCHOLOGY, PASADENA, CA 91101-1714
(626) 584-5603
(626) 584-9630
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
PSY 8437
CA
Other
Enumeration date
07/03/2007
Last updated
07/08/2007
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