Individual provider · Type 1 NPI

Wayne Allen Bardwell, PhD

Clinical Psychologist · San Diego, CA

NPI number 1366420630 Active

Practice location

1901 1st Ave Ste 212
San Diego, CA 92101-2382

Call (619) 356-0138 Map

Mailing address

1262 Kettner Blvd Unit 1101
San Diego, CA 92101-3459

Other practice locations

3252 Holiday Ct Ste 109, La Jolla, CA 92037-1807 · (619) 356-0138

Specialties and licenses

Taxonomy	Code	License
Clinical Psychologist Primary	103TC0700X	PSY16112 (CA)

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1366420630

Wayne Allen Bardwell, PhD's National Provider Identifier is 1366420630, issued on Jan 5, 2006. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in San Diego, CA. The record was last updated on Jul 21, 2022.