Judith Wan, PHD

Clinical Psychologist · Commerce, CA

Individual Active NPI

NPI number 1942564133

Practice location

1500 S McDonnell Ave
Commerce, CA 90040-5623
Phone
(323) 267-2395

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NPI record

NPI
1942564133
Entity type
Individual (Type 1)
Enumeration date
July 2, 2012
Last updated
January 14, 2022
Certified
January 14, 2022
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Clinical Psychologist Primary 103TC0700X 27042 CA

About Dr. Wan

Judith Wan, PHD is a healthcare provider registered in the NPI registry with the primary taxonomy Clinical Psychologist (code 103TC0700X). The practice location is 1500 S McDonnell Ave, Commerce, CA 90040-5623. The NPI number 1942564133 was assigned on July 2, 2012 and the record was last updated on January 14, 2022.

Dr. Wan lists a license in the registry: #27042 (CA) for Clinical Psychologist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Judith Wan, PHD?

The NPI number is 1942564133.

What is the phone number of Dr. Wan?

The phone number listed for the practice location is (323) 267-2395.

Where is Dr. Wan located?

1500 S McDonnell Ave, Commerce, CA 90040-5623.

What is the taxonomy code for Dr. Wan?

The primary taxonomy code is 103TC0700X – Clinical Psychologist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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