Individual provider · Type 1 NPI

Erica Wagener, PSY.D.

Clinical Psychologist · Santa Rosa, CA

NPI number 1326185463 Active

Practice location

401 Bicentennial Way
Santa Rosa, CA 95403-2149

Mailing address

3650 Standish Ave
Santa Rosa, CA 95407-8113

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700XPSB31542 (CA)

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 1326185463

Erica Wagener, PSY.D.'s National Provider Identifier is 1326185463, issued on Jan 30, 2007. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Santa Rosa, CA. The record was last updated on Sep 12, 2007.