Individual
DR. THOMAS JOSEPH WEGMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
5190 GOVERNOR DR STE 104, SAN DIEGO, CA 92122-2848
(858) 455-5252
(858) 455-5556
Mailing address
5190 GOVERNOR DR STE 104, SAN DIEGO, CA 92122-2848
(858) 455-5252
(858) 455-5556
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PSY4228
CA
103TC0700X
Clinical Psychologist
PSY4228
CA
Other
Enumeration date
01/12/2007
Last updated
07/15/2013
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