MR. JACOB WAGNER, LSP, ED.S

Psychologist - School

Active Individual
NPI: 1497590277

Practice Address

2292 CHAMBLISS AVE NW STE C2
Cleveland, TN 37311

Phone: (423) 479-5672

Specialties

Specialty Code Primary License
Counselor - School 101YS0200X No -
Psychologist - School 103TS0200X Yes 000748846 (TN)

Frequently Asked Questions

NPI 1497590277 is the National Provider Identifier for MR. JACOB WAGNER, LSP, ED.S, a Psychologist - School provider located in Cleveland, TN. This NPI was enumerated on June 25, 2024.
MR. JACOB WAGNER, LSP, ED.S practices at 2292 CHAMBLISS AVE NW STE C2, Cleveland, TN 37311.

Quick Facts

NPI
1497590277
Type
Individual
Enumerated
Jun 25, 2024
Last Updated
Jun 25, 2024

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