DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

WAGNER PSYCHOLOGICAL ASSOCIATES

Active Organization

WAGNER PSYCHOLOGICAL ASSOCIATES is a Clinical Psychologist organization located in PHILADELPHIA, Pennsylvania. NPI 1588628903 is currently active in the NPPES registry. Verify at CMS.

Clinical Psychologist · PHILADELPHIA, PA

Registration Details

NPI Number
1588628903
Provider Type
Organization
NPI Issued
Apr 13, 2006 (20.154995348515 yrs)
Last Updated
Aug 22, 2020
License
PS-003973-L (PA)

Practice Information

Address
2824 COTTMAN AVE
SUITE 8
PHILADELPHIA, PA, 191491400
Browse PA providers · Browse ZIP 19149
Phone
2153317707
Fax
2153317790
Primary Specialty
Clinical Psychologist
103TC0700X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.