Wagoner's Psychological Services, LLC

NPI #1669250296 in Medway, Ohio

Provider Information

NPI Number: 1669250296
Entity Type: Organization
Organization Name: Wagoner's Psychological Services, LLC
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Sep 15, 2023
Last Updated: Sep 15, 2023

Practice Location

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

Authorized Official

Name: DR. ALICIA WAGONER, PSY.D.
Title: OWNER
Phone: (937) 546-1083

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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