Doctor Name: | MINDI WOLF |
NPI Number: | 1629148101 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | B.A. PSYCHOLOGY |
License Number: | |
Business Practice Address: | 217 W Cerritos Ave Bldg #8 Anaheim, CA - 928056549 |
Business Phone Number: | 7142548473 |
Business Fax Number: | 7142548480 |
Mailing Address: | 249 Tarocco, IRVINE |
State: | CA |
Postal Code: | 926180315 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 11/09/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |