Search › California › 103TA0400X
Phylis Wakefield, PH.D
NPI 1811047780 · on the registry since 2007 · sole proprietor
Practice
- Address
- 1151 Broadway
Suite 202
Sonoma, CA 95476 - Phone
- (770) 722-2624
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 103TA0400X
103TA0400X
- Also registered as
- 103TC0700X
103TB0200X
103TP2701X - Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2010-03-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California