MARK WAGNER, PHD
Psychologist
Active
Individual
NPI: 1346277142
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Psychologist | 103T00000X | Yes | 536 (SC) |
Frequently Asked Questions
NPI 1346277142 is the National Provider Identifier for MARK WAGNER, PHD, a Psychologist provider located in Charleston, SC. This NPI was enumerated on June 27, 2006.
MARK WAGNER, PHD practices at 171 ASHLEY AVE, Charleston, SC 29425.
Quick Facts
- NPI
- 1346277142
- Type
- Individual
- Enumerated
- Jun 27, 2006
- Last Updated
- Jul 8, 2007
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