Individual provider · Type 1 NPI
John Wagner, MD
Child & Adolescent Psychiatry Physician · Shreveport, LA
NPI number
1033320577
Active
Practice location
7330 Fern Ave Ste 704
Shreveport, LA 71105-4985
Fax (316) 798-8263
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Child & Adolescent Psychiatry Physician Primary | 2084P0804X | MD.201230 (LA) |
Child & Adolescent Psychiatry Physician: Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
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About NPI 1033320577
John Wagner, MD's National Provider Identifier is 1033320577, issued on May 25, 2007. The primary taxonomy on file is Child & Adolescent Psychiatry Physician (2084P0804X), and the practice location is in Shreveport, LA. The record was last updated on May 22, 2019.