Organization
DR BONNIE WAGNER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BONNIE WAGNER WIKLER PH.D. (CLINICAL PSYCHOLOGIST)
(559) 234-2239
Entity
Organization
Contact information
Practice address
194 E ELM AVE, COALINGA, CA 93210-2800
(559) 234-2239
(559) 234-2239
Mailing address
PO BOX 1437, COALINGA, CA 93210-8237
(559) 234-2239
(559) 234-2239
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
10/07/2010
Last updated
10/07/2010
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