Organization · Type 2 NPI

Elizabeth Wagner, Psyd, Lp, Inc.

Clinical Psychologist · St. Louis Park, MN

NPI number 1740637818 Active

Practice location

4500 Park Glen Rd, Suite 450
St. Louis Park, MN 55416-4871

Fax (952) 444-9745

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700X5833 (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 1740637818

Elizabeth Wagner, Psyd, Lp, Inc.'s National Provider Identifier is 1740637818, issued on May 19, 2016. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in St. Louis Park, MN. The record was last updated on Jul 1, 2016.