Individual provider · Type 1 NPI

Janis Ann Wagner, PhD

Psychologist · Watertown, MA

NPI number 1306990627 Active

Practice location

521 Mount Auburn St, Suite 107-109
Watertown, MA 02472-4191

Fax (781) 719-5039

Mailing address

17 Grove St, Unit 3
Boston, MA 02114-3408

Specialties and licenses

TaxonomyCodeLicense
Psychologist Primary 103T00000XPY2351PR (MA)

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 1306990627

Janis Ann Wagner, PhD's National Provider Identifier is 1306990627, issued on Jan 23, 2007. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Watertown, MA. The record was last updated on Jun 17, 2014.