DR. LUCAS BOSCO WANGA PH.D. NPI 1881015253

NPI Information

NPI: 1881015253
Provider Name: DR. LUCAS BOSCO WANGA, PH.D.
Classification: Psychologist - 103TB0200X
Entity Type: Individual

Specialization: Cognitive & Behavioral

Address:
715 EDGERTON STREET
MERRICK COMMUNITY SERVICES
ST. PAUL, MN
ZIP 55130
Phone: (612) 360-1966
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DR. Lucas Bosco Wanga, PH.D. is a cognitive and behavioral psychologist in St. Paul, MN. The provider is a psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking. DR. Lucas Bosco Wanga, PH.D. NPI is 1881015253. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

715 EDGERTON STREET
MERRICK COMMUNITY SERVICES
ST. PAUL, MN
ZIP 55130
Phone: (612) 360-1966

The enumeration date for this NPI number is 1/2/2014 and was last updated on 1/2/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	103TC2200X	Psychologist	Clinical Child & Adolescent	362637	MINNESOTA	No
2	103TM1800X	Psychologist	Intellectual and Developmental Disabilities	362637	MINNESOTA	No
3	103TS0200X	Psychologist	School	362637	MINNESOTA	No
4	103TB0200X	Psychologist	Cognitive & Behavioral	362637	MINNESOTA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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