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Individual

DR. RICHARD WANLASS

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
4860 Y ST, SUITE 1100, SACRAMENTO, CA 95817-2307
(916) 734-3420
(916) 734-6740
Mailing address
4860 Y ST, SUITE 1100, SACRAMENTO, CA 95817-2307
(916) 734-3420
(916) 734-6740

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
PSY10274
CA
103T00000X
Psychologist
PSY10274
CA
103TC0700X
Clinical Psychologist
PSY10274
CA
103TR0400X
Rehabilitation Psychologist
Primary
PSY10274
CA

Other

Enumeration date
11/10/2005
Last updated
09/11/2025
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