DR. Alicia Wagoner, PSY.D

NPI #1265922504 in Medway, Ohio

Provider Information

NPI Number: 1265922504
Entity Type: Individual
Name: DR. Alicia Wagoner, PSY.D
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist - Clinical
Credential: PSY.D
Enumeration Date: May 11, 2018
Last Updated: Oct 27, 2023

Practice Location

Address: 2675 MEDWAY NEW CARLISLE RD
City: Medway
State: Ohio
ZIP Code: 45341-9744
Phone: (937) 856-7066

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Clinical — Clinical	103TC0700X	Primary

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