DR. Janis Ann Wagner, PH.D

NPI #1306990627 in Watertown, Massachusetts

Provider Information

NPI Number: 1306990627
Entity Type: Individual
Name: DR. Janis Ann Wagner, PH.D
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist
Credential: PH.D
Enumeration Date: Jan 23, 2007
Last Updated: Jun 17, 2014

Practice Location

Address: 521 MOUNT AUBURN ST
Address 2: SUITE 107-109
City: Watertown
State: Massachusetts
ZIP Code: 02472-4191
Phone: (617) 416-7815

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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