Wyatt, Wanda Lou

Wyatt, Wanda Lou is an sole proprietor health care provider with primary practice located at 901 N Pacific Coast Hwy Ste A , Redondo Beach CA 90277-2162. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Wyatt, Wanda Lou can be contacted via phone (310) 316-1610.

Contact Information

Primary practice address
901 N Pacific Coast Hwy Ste A Redondo Beach CA 90277-2162
Phone: (310) 316-1610
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X IMF76128 California

Profile Details

NPI number 1700261104
LBN Legal business name Wyatt, Wanda Lou
Credentials MFTI
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 27th, 2015
Last updated Aug 3rd, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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