Joanne M. Wrenn (NPI# 1174837447, PAC ID# 6103941836) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHOLOGIST, CLINICAL.
| Nation Provider ID (NPI) | 1174837447 |
| PAC ID by PECOS | 6103941836 |
| Professional Enrollment ID | I20100917000413 |
| Full Name | Joanne M. Wrenn |
| Address |
14502 Stetson Rd Los Gatos CA 95033-9706 |
| Phone Number | 4082572874 |
| Gender | F |
| Graduation Year | 1996 |
| Primary Specialty | PSYCHOLOGIST, CLINICAL |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 14502 Stetson Rd, Los Gatos, CA 95033-9706 | 4082572874 |
| Street Address |
14502 STETSON RD |
| City | LOS GATOS |
| State | CA |
| Zip | 95033-9706 |
| City | LOS GATOS |
| Zip Code | 95033 |
| Specialty | PSYCHOLOGIST, CLINICAL |
| City + Specialty | LOS GATOS + PSYCHOLOGIST, CLINICAL |
Please comment or provide details below to improve the information on Joanne M. Wrenn.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.