DR. Burl Wagenheim, PH.D.

NPI #1174652440 in Downey, California

Provider Information

NPI Number: 1174652440
Entity Type: Individual
Name: DR. Burl Wagenheim, PH.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist
Credential: PH.D.
Enumeration Date: Mar 5, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 7601 IMPERIAL HWY
Address 2: HB 226
City: Downey
State: California
ZIP Code: 90242-3456
Phone: (562) 401-6320

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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