Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KEELY LOUISE WAGNER, LLP, MS
ActivePsychologist · CLARKSTON, MI
Registration Details
- NPI Number
- 1518564657
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 1, 2020 (5.5986013265386 yrs)
- Last Updated
- Sep 4, 2024
- Licenses
-
6362009086 (MI)6361007929 (MI)
Practice Information
- Address
-
7640 DIXIE HWY STE 155CLARKSTON, MI, 483462095Browse MI providers · Browse ZIP 48346
- Phone
- 2487919266
- Primary Specialty
-
Psychologist
103T00000X
- Additional Specialty
- Psychologist
Other Psychologist Providers in CLARKSTON, MI
| Name | Credential | NPI |
|---|---|---|
| MR. JOHN C SCHARFENKAMP | M.A. | 1679553028 |
| MR. JOSEPH C. SHOOTS | MA,TLLP,CAC-1 | 1922035286 |
| BEVERLY HARTMAN | M.A., L.L.P. | 1700999018 |
| DR. PETER WILLIAM KEELIN | PH.D. | 1275630469 |
| DR. MARTHA JANE WRIGHT | PHD | 1033290846 |
| MRS. DEBORHA TYCOLIZ CAMPBELL | PSY. S. LLP | 1174688634 |
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.