Elizabeth Wagner, Psyd, Lp, Inc.
NPI #1740637818 in Saint Louis Park, Minnesota
Provider Information
- NPI Number
- 1740637818
- Entity Type
- Organization
- Organization Name
- Elizabeth Wagner, Psyd, Lp, Inc.
- Primary Specialty
- Psychologist - Clinical
- Enumeration Date
- May 19, 2016
- Last Updated
- Jul 1, 2016
Practice Location
- Address
- 4500 PARK GLEN RD
- Address 2
- SUITE 450
- City
- Saint Louis Park
- State
- Minnesota
- ZIP Code
- 55416-4871
- Phone
- (952) 444-9744
Authorized Official
- Name
- DR. ELIZABETH WAGNER, PSYD
- Title
- CHIEF EXECUTIVE OFFICER
- Phone
- (952) 444-9744
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Clinical — Clinical |
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