NPI 1013154293

Michael James Wagner, PHD

Practitioner Psychologist Tucson, AZ

Practice location

Address: 10207 E Shady Rock Ln, Tucson, AZ 85749-8162
Phone: (520) 631-2067

Registered specialties (2)

Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103T00000X Licence 4297 (AZ)

Other Psychologist providers in Arizona →

Mental Health Counselor

Behavioral Health & Social Service Providers Taxonomy 101YM0800X Licence 0119031 (NM)

Other Counselor providers in Arizona →

Registry record

NPI: 1013154293
Entity type: Individual
Sex (as registered): Male
NPI issued: 9 Jan 2009
Record last updated: 26 Jun 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.