Individual provider · Type 1 NPI

Lynne I. Wagner, PhD

Clinical Psychologist · Chicago, IL

NPI number 1386734440 Active

Practice location

676 N Saint Clair St, Suite 200
Chicago, IL 60611-2927

Call (312) 695-6946 Map

Fax (312) 695-4307

Mailing address

1960 N Lincoln Park W, Unit 1310
Chicago, IL 60614-5487

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700XNone listed

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 1386734440

Lynne I. Wagner, PhD's National Provider Identifier is 1386734440, issued on Oct 12, 2006. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Chicago, IL. The record was last updated on Jul 8, 2007.