Individual provider · Type 1 NPI
Madeline Anne Wagner, PhD
Clinical Psychologist · Cambridge, MA
Practice location
328 Broadway
Cambridge, MA 02139-1840
Fax (978) 371-0643
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Psychologist Primary | 103TC0700X | 5038 (MA) |
Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…
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About NPI 1063560704
Madeline Anne Wagner, PhD's National Provider Identifier is 1063560704, issued on Jan 8, 2007. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Cambridge, MA. The record was last updated on Jul 8, 2007.