LI WAN

Psychologist

Active Individual
NPI: 1619208048

Practice Address

1 BEAR PL UNIT 97334
DEPT. OF PSYCHOLOGY
Waco, TX 76798

Phone: (254) 710-2245

Specialties

Specialty Code Primary License
Behavior Analyst 103K00000X No -
Psychologist 103T00000X Yes 19994211042230176010 (ZZ)

Frequently Asked Questions

NPI 1619208048 is the National Provider Identifier for LI WAN, a Psychologist provider located in Waco, TX. This NPI was enumerated on January 25, 2010.
LI WAN practices at 1 BEAR PL UNIT 97334, DEPT. OF PSYCHOLOGY, Waco, TX 76798.

Quick Facts

NPI
1619208048
Type
Individual
Enumerated
Jan 25, 2010
Last Updated
Jan 25, 2010

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