DR. Ronald A Wagner, PSY.D.

NPI #1992862098 in Quincy, Massachusetts

Provider Information

NPI Number: 1992862098
Entity Type: Individual
Name: DR. Ronald A Wagner, PSY.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist - Clinical
Credential: PSY.D.
Enumeration Date: Jan 2, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 110 W SQUANTUM ST
Address 2: SUITE 17
City: Quincy
State: Massachusetts
ZIP Code: 02171-2122
Phone: (617) 921-9152

Specialties & Taxonomy Codes

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

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