Individual provider · Type 1 NPI

Michael Dale Wagner, PhD

Clinical Psychologist · Westerville, OH

NPI number 1760577340 Active

Practice location

5415 Medallion Dr W
Westerville, OH 43082-9194

Specialties and licenses

TaxonomyCodeLicense
Clinical Child & Adolescent Psychologist 103TC2200X4636 (OH)
Clinical Psychologist Primary 103TC0700X4636 (OH)

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 1760577340

Michael Dale Wagner, PhD's National Provider Identifier is 1760577340, issued on Oct 3, 2006. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Westerville, OH. The record was last updated on Jun 20, 2020.