Individual
KRISTI LYNN WAGNER-STEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
300 MEDICAL PLAZA, B200, LOS ANGELES, CA 90095-0001
(310) 825-6183
Mailing address
5767 W CENTURY BLVD, SUITE 400, LOS ANGELES, CA 90045-5631
(310) 794-1195
(310) 794-7491
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY21167
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PSY21167
—
CA
Enumeration date
02/27/2008
Last updated
04/19/2012
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