Individual
JAMES A WAKEFIELD JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
696 VILLAGE BLVD UNIT 27, INCLINE VILLAGE, NV 89451-9098
(209) 769-9409
(775) 298-7322
Mailing address
PO BOX 5754, INCLINE VILLAGE, NV 89450-5754
(209) 769-9409
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY11298
CA
Other
Enumeration date
03/22/2019
Last updated
03/22/2019
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