| Doctor Name: | DR. ALISON WACTER |
| NPI Number: | 1053348334 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PSY.D. |
| License Number: | PSY 18950 |
| Business Practice Address: | 505 Lomas Santa Fe Dr Suite 260 Solana Beach, CA - 920751333 |
| Business Phone Number: | 8582791223 |
| Business Fax Number: | 8585094789 |
| Mailing Address: | 2347 Terraza Guitara, CARLSBAD |
| State: | CA |
| Postal Code: | 920096624 |
| Phone Number: | 8582791223 |
| Fax Number: | 8585094789 |
| NPI Enumeration Date: | 06/26/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | PSY 18950 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |