Individual provider · Type 1 NPI

Gwendolyne Marie Wagner

Clinical Psychologist · San Jose, CA

NPI number 1891021671 Active

Practice location

2001 The Alameda
San Jose, CA 95126-1136

Call (408) 261-7777 Map

Fax (408) 261-8299

Mailing address

PO Box 2234
Sunnyvale, CA 94087-0234

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700X26282 (CA)

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 1891021671

Gwendolyne Marie Wagner's National Provider Identifier is 1891021671, issued on Oct 28, 2009. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in San Jose, CA. The record was last updated on Dec 1, 2016.