Robert Edward Wagner, PHD

NPI #1730283730 in Dixon, California

Provider Information

NPI Number
1730283730
Entity Type
Individual
Name
Robert Edward Wagner, PHD
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Psychologist
Credential
PHD
Enumeration Date
Sep 11, 2006
Last Updated
Jan 18, 2012

Practice Location

Address
125 N LINCOLN ST
Address 2
SUITE H
City
Dixon
ZIP Code
95620-3258
Phone
(707) 678-1948

Specialties & Taxonomy Codes

Specialty
Psychologist

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