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Dr. Jack Saul Wasserman, PHD
Clinical Psychologist in Newport Beach, California
NPI 1225134893

Jack Saul Wasserman is a Clinical Psychologist based in Newport Beach, CA and is specialized in Clinical. Jack Saul Wasserman practices in Newport Beach, CA and has the professional credentials of PHD. The NPI Number for Jack Saul Wasserman is 1225134893 and holds a License No. PSY11898 (California).

The current practice location address for Jack Saul Wasserman is 1101 Dove St, Newport Beach, CA and can be reached out via phone at 714-812-6869.

Location: 1101 Dove St, Newport Beach, CA, 92660-2839
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1225134893
Provider Name
Jack Saul Wasserman
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
1101 Dove St, Newport Beach, CA, 92660-2839
Phone Number
714-812-6869
Fax Number
Provider Enumeration Date
09/14/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1225134893 01 CA 103TA0400X
institution
Provider Business Practice Location Address Details
Address
1101 Dove St
City
Newport Beach
State
California
Zip
92660-2839
Phone Number
714-812-6869
Fax Number
person
Provider Business Mailing Address Details
Address
1101 Dove St
City
Newport Beach
State
California
Zip
92660-2839
Phone Number
714-812-6869
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Addiction (Substance Use Disorder)
Taxonomy
103TA0400X
License No.
11898 (California)
Definition
A psychologist with a proficiency that involves the application of psychological treatment of addiction stemming from the use of alcohol and other psychoactive substances (e.g., nicotine, marijuana, cocaine, heroin) or behavioral addictions (e.g., gambling) with the aim of cessation or reduction of use and/or the amelioration of emotional, behavioral, interpersonal and other problems arising from the addictive behavior.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
103TC0700X
License No.
PSY11898 (California)
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
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