Individual provider · Type 1 NPI

Diane Wagner

Clinical Psychologist · Fairfax, VA

NPI number 1194211540 Active

Practice location

11325 Random Hills Rd Ste 360
Fairfax, VA 22030-0972

Call (703) 646-1518 Map

Mailing address

10911 Adare Dr
Fairfax, VA 22032-3105

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700X0810006006 (VA)

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 1194211540

Diane Wagner's National Provider Identifier is 1194211540, issued on Jul 9, 2018. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Fairfax, VA. The record was last updated on Aug 27, 2021.