Patricia Wagner

NPI #1316081227 in Newark, Delaware

Provider Information

NPI Number: 1316081227
Entity Type: Individual
Name: Patricia Wagner
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist - School
Enumeration Date: Feb 16, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 200 TYRE AVE
City: Newark
State: Delaware
ZIP Code: 19711-7136
Phone: (302) 454-2047

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - School — School	103TS0200X	Primary

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