Individual provider · Type 1 NPI
Ann Marie Wagner, PhD, LP
Clinical Psychologist · Minneapolis, MN
Practice location
PO Box 17141
Minneapolis, MN 55417-0141
Mailing address
PO Box 14171
Minneapolis, MN 55417
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Psychologist Primary | 103TC0700X | 4216 (MN) |
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 1548207178
Ann Marie Wagner, PhD, LP's National Provider Identifier is 1548207178, issued on Jun 1, 2006. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Minneapolis, MN. The record was last updated on Nov 17, 2025.