Individual provider · Type 1 NPI

Mark S. Wagner, PhD

Clinical Psychologist · Philadelphia, PA

NPI number 1184647356 Active

Practice location

2824 Cottman Ave, Suite 8
Philadelphia, PA 19149-1400

Call (215) 331-7707 Map

Fax (215) 331-7790

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700XPS 003973L (PA)

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 1184647356

Mark S. Wagner, PhD's National Provider Identifier is 1184647356, issued on Jul 26, 2006. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Philadelphia, PA. The record was last updated on Jul 8, 2007.