Physician Compare National (NPI:1205180072)

HEALTHCARE PROVIDER: JOANNE WOLF PH.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1205180072
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	4587808746
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20130910000617
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	WOLF
	Individual professional last name
Provider First Name	JOANNE
	Individual professional first name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1990
	Individual professional's medical school graduation year
Primary Specialty	PSYCHOLOGIST, CLINICAL
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	171 SAXONY RD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 214
	Group Practice or individual's line 2 address
City	ENCINITAS
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	920246782
	Group Practice or individual's zip code (9 digits when available)
Phone Number	8586105052
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y