Individual provider · Type 1 NPI

Leslie Ann Wagner, PhD

Psychologist · Grosse Pointe, MI

NPI number 1013033398 Active

Practice location

533 Saint Clair St
Grosse Pointe, MI 48230-1503

Fax (313) 936-1084

Specialties and licenses

TaxonomyCodeLicense
Psychologist Primary 103T00000X6301012459 (MI)
Clinical Psychologist 103TC0700X6301012459 (MI)

Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…

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About NPI 1013033398

Leslie Ann Wagner, PhD's National Provider Identifier is 1013033398, issued on Mar 21, 2007. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Grosse Pointe, MI. The record was last updated on May 23, 2019.