Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jacqlyn Quintina Wax, PSYD

Individual provider Psychologist · NPI 1063033611

Jacqlyn Quintina Wax, PSYD is a Psychologist in Mission Viejo, California. Licensed in California. Registered with an NPI since 2020.

Licensed in
CA
In the registry since
2020
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

27201 Puerta Real Ste 300
Mission Viejo, CA 92691-8590
Phone: (949) 354-4147
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence PSB94024446 (CA)

Record details

NPI number1063033611
Entity typeIndividual (Type 1)
GenderFemale
Credentials PSYD
Sole proprietorNo
NPI enumeratedMay 5, 2020
Last updated in NPPESMay 5, 2020
Certification dateMay 5, 2020

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