NPI 1003941915

Wandalyn Lane, MA

Practitioner Marriage & Family Therapist San Bernardino, CA

Practice location

Address: 1585 S D St 101, San Bernardino, CA 92408-3257
Phone: (909) 388-2222
Fax: (909) 388-2220
Mailing address: 1501 Hughes Way, Long Beach, CA 90810-1876

Registered specialties (2)

Marriage & Family Therapist Primary

Behavioral Health & Social Service Providers Taxonomy 106H00000X

Other Marriage & Family Therapist providers in California →

Mental Health Counselor

Behavioral Health & Social Service Providers Taxonomy 101YM0800X

Other Counselor providers in California →

Registry record

NPI: 1003941915
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 Feb 2007
Record last updated: 11 Mar 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.