Individual provider · Type 1 NPI

Keely Louise Wagner, LLP, MS

Psychologist · Clarkston, MI

NPI number 1518564657 Active

Practice location

7640 Dixie Hwy Ste 155
Clarkston, MI 48346-2095

Call (248) 791-9266 Map

Mailing address

2790 International Dr Apt 534C
Ypsilanti, MI 48197-8527

Other practice locations

  • 315 N Center St, Northville, MI 48167-1277 · (234) 759-7191

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800X6362009086 (MI)
Psychologist Primary 103T00000X6361007929 (MI)

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 1518564657

Keely Louise Wagner, LLP, MS's National Provider Identifier is 1518564657, issued on Oct 1, 2020. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Clarkston, MI. The record was last updated on Sep 4, 2024.