Individual
DEANNA AILEEN WAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
2141 HIGH ST STE B, SELMA, CA 93662-3065
(559) 856-6110
Mailing address
PO BOX 6242, VISALIA, CA 93290-6242
(808) 554-9507
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
7073
NC
103T00000X
Psychologist
1984
HI
103T00000X
Psychologist
Primary
PSY31184
CA
Other
Enumeration date
07/30/2008
Last updated
02/09/2023
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