Individual provider · Type 1 NPI

Suraji Wagage, PhD

Psychologist · Philadelphia, PA

NPI number 1154911956 Active

Practice location

3720 Spruce St Ste 409
Philadelphia, PA 19104-4115

Specialties and licenses

TaxonomyCodeLicense
Psychologist 103T00000X025772 (NY)
Psychologist Primary 103T00000X06656 (MD)

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 1154911956

Suraji Wagage, PhD's National Provider Identifier is 1154911956, issued on Jan 25, 2021. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Philadelphia, PA. The record was last updated on Jan 27, 2025.