Individual provider · Type 1 NPI

Elizabeth Wagner, PSYD

Clinical Psychologist · St. Louis Park, MN

NPI number 1922128529 Active

Practice location

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

Call (952) 444-9744 Map

Fax (952) 444-9745

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700XLP5833 (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 1922128529

Elizabeth Wagner, PSYD's National Provider Identifier is 1922128529, issued on Mar 29, 2007. 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.