Individual provider · Type 1 NPI

Kristine Tiffany Wagner, PhD

Clinical Neuropsychologist · Temecula, CA

NPI number 1902837255 Active

Practice location

27393 Ynez Rd, Suite 153
Temecula, CA 92591-5604

Fax (951) 695-7144

Mailing address

PO Box 892143
Temecula, CA 92589-2143

Specialties and licenses

TaxonomyCodeLicense
Clinical Neuropsychologist Primary 103G00000XPSY18320 (CA)

Clinical Neuropsychologist: A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.

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About NPI 1902837255

Kristine Tiffany Wagner, PhD's National Provider Identifier is 1902837255, issued on Jul 5, 2006. The primary taxonomy on file is Clinical Neuropsychologist (103G00000X), and the practice location is in Temecula, CA. The record was last updated on Jul 8, 2007.