Individual
DR. DAVID MICHAEL WOLGIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1111 E TAHQUITZ CANYON WAY STE 209, PALM SPRINGS, CA 92262-0102
(760) 424-2266
(760) 424-2266
Mailing address
1111 E TAHQUITZ CANYON WAY STE 209, PALM SPRINGS, CA 92262-0102
(760) 424-2266
(760) 424-2266
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
27046
CA
103TC0700X
Clinical Psychologist
7114
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
405446
TUFTS PROVIDER NUMBER
MA
01
—
WO 5934
BC/BS PROVIDER NUMBER
MA
Enumeration date
08/17/2006
Last updated
05/22/2020
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