Kay Wickett Ostensen PHD

NPI 1104020189 - Psychologist - 103TC0700X

NPI Details
NPI 1104020189
Gender Female
Enumeration Date 06/13/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
1278 GLENNEYRE
PSYCHOLOGY CENTER #D
LAGUNA BEACH CA, 92651, US
Phone (949) 494-5460
Fax (949) 209-8777
Business Location
1278 GLENNEYRE
SUITE #22
LAGUNA BEACH CA, 92651, US
Phone (949) 494-5460
Fax (949) 209-8777
Toxanomy
Taxonomy Code 103TC0700X
License State California
License Number 6951
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According to our database, Ms. Kay Wickett Ostensen PHD NPI is 1104020189, taxonomy code is 103TC0700X and license number is 6951, license state is located at California. Kay Wickett Ostensen PHD physically located at 1278 Glenneyre, Laguna Beach CA, 92651. NPI Number Kay Wickett Ostensen PHD has the Individual type.

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1104020189 NPI number is provided on an as is basis without warranty of any kind. 1104020189 is maintained by the National Plan & Provider Enumeration System. The contents of Kay Wickett Ostensen PHD are for informational purposes only.