| Dr John Harvey Wagoner, MD, PHD, MBA | |
|
133 Old Solomons Island Road, Bayshore Counseling And Psychological Services, Llc, Annapolis, MD 21401 | |
| (410) 266-9747 | |
| (410) 266-9749 |
| Full Name | Dr John Harvey Wagoner |
|---|---|
| Gender | Male |
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 133 Old Solomons Island Road, Annapolis, Maryland |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245393529 | NPI | - | NPPES |
| 54297601 | Other | MD | BCBS OF MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 03283 (Maryland) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | D48079 (Maryland) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr John Harvey Wagoner, MD, PHD, MBA 133 Old Solomons Island Road, Annapolis, MD 21401 Ph: (410) 266-9747 | Dr John Harvey Wagoner, MD, PHD, MBA 133 Old Solomons Island Road, Bayshore Counseling And Psychological Services, Llc, Annapolis, MD 21401 Ph: (410) 266-9747 |