IndividualActive
Andrea Wagner, PSY.D.
NPI 1366995078 · Addiction (Substance Use Disorder) Psychologist · Newport Beach, CA
Provider details
- NPI number
- 1366995078
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) PsychologistBehavioral Health & Social Service Providers
- Credential
- PSY.D.
- Sex
- Female
- Sole proprietor
- Yes
- License
- 32730 (CA)
Practice location
456 Old Newport Blvd
Newport Beach, CA 92663-4211
Phone: (949) 447-8257
Mailing address
456 Old Newport Blvd
Newport Beach, CA 92663-4211
Registry dates
- Enumerated
- 2016-07-28
- Last updated
- 2026-05-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.