Organization
DEREK K. WANGBERG A PSYCHOLOGICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEREK KEVIN WANGBERG PSY.D. (CLINICAL PSYCHOLOGIST)
(714) 369-5117
Entity
Organization
Contact information
Practice address
211 INDIANAPOLIS AVE, HUNTINGTON BEACH, CA 92648-4322
(714) 369-5117
Mailing address
211 INDIANAPOLIS AVE, HUNTINGTON BEACH, CA 92648-4322
(714) 369-5117
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY21059
CA
Other
Enumeration date
01/09/2009
Last updated
01/09/2009
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