Dr Leslie Ann Wagner, PHD - Psychologist in Grosse Pointe, MI

Dr Leslie Ann Wagner, PHD is a Psychologist based in Grosse Pointe, Michigan. Dr Leslie Ann Wagner is licensed to practice in Michigan (license number 6301012459) and her current practice location is 533 Saint Clair St, Grosse Pointe, Michigan. She can be reached at her office (for appointments etc.) via phone at (313) 978-7792.

NPI number for Dr Leslie Ann Wagner is 1013033398 and her current mailing address is 533 Saint Clair St, Grosse Pointe, Michigan. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1013033398.

Contact Information

Dr Leslie Ann Wagner, PHD
533 Saint Clair St,
Grosse Pointe, MI 48230-1503
(313) 978-7792
(313) 936-1084

Map and Direction




Healthcare Provider's Profile

Full NameDr Leslie Ann Wagner
GenderFemale
SpecialityPsychologist
Location533 Saint Clair St, Grosse Pointe, Michigan
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1013033398
  • Provider Enumeration Date: 03/21/2007
  • Last Update Date: 05/23/2019

Medical Identifiers

Medical identifiers for Dr Leslie Ann Wagner such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013033398NPI-NPPES
1013033398OtherNPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103T00000XPsychologist 6301012459 (Michigan)Primary
103TC0700XPsychologist - Clinical 6301012459 (Michigan)Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Leslie Ann Wagner is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Leslie Ann Wagner, PHD
533 Saint Clair St,
Grosse Pointe, MI 48230-1503

Ph: (313) 978-7792
Dr Leslie Ann Wagner, PHD
533 Saint Clair St,
Grosse Pointe, MI 48230-1503

Ph: (313) 978-7792

Reviews and Comments


Psychologist in Grosse Pointe, MI

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Phone: 313-885-8350    Fax: 313-885-8357
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Phone: 248-537-2489    

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