Individual
DR. DEREK WANGBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
11401 BLOOMFIELD, NORWALK, CA 90650
(714) 569-5117
(949) 429-7791
Mailing address
11401 BLOOMFIELD, NORWALK, CA 90650
(714) 369-5117
(949) 429-7793
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY 21059
CA
Other
Enumeration date
02/22/2007
Last updated
07/24/2013
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