Individual provider · Type 1 NPI

Brenda J. Wagner, PhD

Psychologist · Atlanta, GA

NPI number 1083663272 Active

Practice location

5455 Meridian Mark Rd NE, Ste 400
Atlanta, GA 30342

Fax (404) 785-3600

Specialties and licenses

TaxonomyCodeLicense
Psychologist Primary 103T00000X001706 (GA)

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 1083663272

Brenda J. Wagner, PhD's National Provider Identifier is 1083663272, issued on May 8, 2006. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Atlanta, GA. The record was last updated on Jul 13, 2026.