Provider Demographics
NPI:1457496440
Name:WOLANIN, JOHN PAUL (PSY D)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:PAUL
Last Name:WOLANIN
Suffix:
Gender:M
Credentials:PSY D
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:1610 W 7TH ST
Mailing Address - Street 2:APT 308
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90017-2229
Mailing Address - Country:US
Mailing Address - Phone:330-327-6822
Mailing Address - Fax:
Practice Address - Street 1:2555 E COLORADO BLVD
Practice Address - Street 2:SUITE 100
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91107-6622
Practice Address - Country:US
Practice Address - Phone:626-577-2261
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-20
Last Update Date:2009-08-11
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health