Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. LESLIE ANN WAGNER, PH.D.
Active Sole ProprietorDR. LESLIE ANN WAGNER, PH.D. is a Psychologist healthcare provider located in GROSSE POINTE, Michigan. NPI 1013033398 is currently active in the NPPES registry. Verify at CMS.
Psychologist · GROSSE POINTE, MI
Registration Details
- NPI Number
- 1013033398
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 21, 2007 (19.373595078579 yrs)
- Last Updated
- May 23, 2019
- Licenses
-
6301012459 (MI)6301012459 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
533 SAINT CLAIR STGROSSE POINTE, MI, 482301503Browse MI providers · Browse ZIP 48230
- Phone
- 3139787792
- Fax
- 3139361084
- Primary Specialty
-
Psychologist
103T00000X
- Additional Specialty
- Clinical Psychologist
Other Psychologist Providers in GROSSE POINTE, MI
| Name | Credential | NPI |
|---|---|---|
| ANDREA LYNN ANDRZEJCZAK | PH.D. | 1568520559 |
| MARCIA BONAHOOM | M.A. | 1033308606 |
| TASHA LENO | — | 1790264760 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.