Individual
DR. GERRY MARY WANIEWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
1733 W KATELLA AVE, ORANGE, CA 92867-3428
(714) 538-0200
(714) 532-0833
Mailing address
1733 W KATELLA AVE, ORANGE, CA 92867-3428
(714) 538-0200
(714) 532-0833
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY19107
CA
Other
Enumeration date
02/05/2008
Last updated
02/05/2008
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