MEDICARE: DR. VALERIE WANT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103T00000X	Psychologist
2	103TC0700X	Clinical Psychologist	PSY#15986	CA
3	103T00000X	Psychologist	PSY15986	CA

General Provider Information

NPI Number	:	1710016456
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. VALERIE WANT

Provider Business Mailing Address
First Line	:	25431 CABOT RD
Second Line	:	STE. 111
City	:	LAGUNA HILLS
State	:	CA
Zip	:	92653-5518
Country	:	US
Telephone Number	:	949-457-9571
Fax Number	:	949-457-8169

Provider Business Practice Location Address
First Line	:	25431 CABOT RD
Second Line	:	STE. 111
City	:	LAGUNA HILLS
State	:	CA
Zip	:	92653-5518
Country	:	US
Telephone Number	:	949-457-9571
Fax Number	:	949-457-8169

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/05/2007
Last Update Date	:	02/06/2025

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Directions to “ DR. VALERIE WANT ” Practice Location

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