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

AUDREY WAGNER, PH.D.

Active Sole Proprietor

AUDREY WAGNER, PH.D. is a Clinical Psychologist healthcare provider located in WATERTOWN, Massachusetts. NPI 1922047679 is currently active in the NPPES registry. Verify at CMS.

Clinical Psychologist · WATERTOWN, MA

Registration Details

NPI Number
1922047679
Provider Type
Individual
Gender
Female
NPI Issued
Jun 6, 2006 (20.166237637913 yrs)
Last Updated
Jul 8, 2007
License
4685 (MA)
Sole Proprietor
Yes

Practice Information

Address
173 MOUNT AUBURN ST
WATERTOWN, MA, 024724005
Browse MA providers · Browse ZIP 02472
Phone
6179232468
Primary Specialty
Clinical Psychologist
103TC0700X

Other Clinical Psychologist Providers in WATERTOWN, MA

Name Credential NPI
DR. CHARLES WOODROW STYRON JR. PSY. D. 1366413841
PATRICIA ALISON GELLER ED.D. 1710057617
WILLIAM MICHAEL KEANE PH.D 1750455044
DR. JANINA FISHER PHD 1851458772
DR. CAROL BECKER PHD 1508902115
SOREN R. EKSTROM PH.D. 1477763316
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.