| Wagner Psychological Associates | |
|
2824 Cottman Ave Suite 8 Philadelphia PA 19149-1400 | |
| (215) 331-7707 | |
| (215) 331-7790 |
| Full Name | Wagner Psychological Associates |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 2824 Cottman Ave, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Mark S. Wagner (DIRECTOR) |
| Authorized Official Contact | 2153317707 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wagner Psychological Associates 2824 Cottman Ave Suite 8 Philadelphia PA 19149-1400 Ph: (215) 331-7707 | Wagner Psychological Associates 2824 Cottman Ave Suite 8 Philadelphia PA 19149-1400 Ph: (215) 331-7707 |
| NPI Number | 1588628903 |
|---|---|
| Provider Enumeration Date | 04/13/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588628903 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PS-003973-L (Pennsylvania) | Primary |
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