DR. Amy Claire Wagner, PH.D., L.M.F.T.

NPI #1568516698 in Wilmette, Illinois

Provider Information

NPI Number: 1568516698
Entity Type: Individual
Name: DR. Amy Claire Wagner, PH.D., L.M.F.T.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist - Clinical
Credential: PH.D., L.M.F.T.
Enumeration Date: Jan 23, 2007
Last Updated: Aug 7, 2020

Practice Location

Address: 104 CENTRAL PARK AVE
City: Wilmette
State: Illinois
ZIP Code: 60091-3202
Phone: (847) 721-0965

Specialties & Taxonomy Codes

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

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