Madeline Anne Wagner, PH.D,

NPI #1063560704 in Cambridge, Massachusetts

Provider Information

NPI Number
1063560704
Entity Type
Individual
Name
Madeline Anne Wagner, PH.D,
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Psychologist - Clinical
Credential
PH.D,
Enumeration Date
Jan 8, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
328 BROADWAY
ZIP Code
02139-1840
Phone
(617) 661-9989

Specialties & Taxonomy Codes

Specialty
Psychologist - ClinicalClinical

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