Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ALICIA WAGONER, PSY.D
Active Sole ProprietorClinical Psychologist · MEDWAY, OH
Registration Details
- NPI Number
- 1265922504
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 11, 2018 (7.9727484234282 yrs)
- Last Updated
- Oct 27, 2023
- License
-
8397 (OH)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2675 MEDWAY NEW CARLISLE RDMEDWAY, OH, 453419744Browse OH providers · Browse ZIP 45341
- Phone
- 9378567066
- Primary Specialty
-
Clinical Psychologist
103TC0700X
Other Clinical Psychologist Providers in MEDWAY, OH
| Name | Credential | NPI |
|---|---|---|
| DR. LYNN MARIE FARNEY | PSY.D. | 1003848730 |
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.