Individual provider · Type 1 NPI

Mark T. Wagner, PhD

Psychologist · Charleston, SC

NPI number 1346277142 Active

Practice location

171 Ashley Ave
Charleston, SC 29425-0001

Call (843) 792-1414 Map

Mailing address

PO Box 751461
Charlotte, NC 28275-1461

Specialties and licenses

TaxonomyCodeLicense
Psychologist Primary 103T00000X536 (SC)

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 1346277142

Mark T. Wagner, PhD's National Provider Identifier is 1346277142, issued on Jun 27, 2006. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Charleston, SC. The record was last updated on Jul 8, 2007.