Julie A. Wagner, PHD

NPI #1295891117 in Farmington, Connecticut

Provider Information

NPI Number: 1295891117
Entity Type: Individual
Name: Julie A. Wagner, PHD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist
Credential: PHD
Enumeration Date: Dec 28, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: JOHN DEMPSEY HOSPITAL
Address 2: 263 FARMINGTON AVENUE, MC-3910
City: Farmington
State: Connecticut
ZIP Code: 06030-0001
Phone: (860) 679-4508

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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