DR. Matthew T. Wagner, CLIN. PSYCHOLOGIST
NPI #1811203417 in Chowchilla, California
Provider Information
- NPI Number
- 1811203417
- Entity Type
- Individual
- Name
- DR. Matthew T. Wagner, CLIN. PSYCHOLOGIST
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Psychologist - Clinical
- Credential
- CLIN. PSYCHOLOGIST
- Enumeration Date
- Aug 20, 2010
- Last Updated
- Aug 20, 2010
Practice Location
- Address
- 21633 AVENUE 24
- City
- Chowchilla
- State
- California
- ZIP Code
- 93610-9650
- Phone
- (559) 665-6100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Clinical — Clinical |
| Psychologist - Family — Family |
| Psychologist - Forensic — Forensic |
| Psychologist - Health Service — Health Service |
| Psychologist - Group Psychotherapy — Group Psychotherapy |
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