Whalio Doctors

NPI 1033555362

Michael S Wagner, PHDLMFT

Practitioner Psychoanalyst San Francisco, CA

Practice location

Address
3263 Sacramento St Suite B, San Francisco, CA 94115-2054
Phone
(415) 775-2533

Registered specialties (2)

Psychoanalyst Primary
Behavioral Health & Social Service Providers Taxonomy 102L00000X Licence MFC23782 (CA)
Marriage & Family Therapist
Behavioral Health & Social Service Providers Taxonomy 106H00000X Licence MFC23782 (CA)

Registry record

NPI
1033555362
Entity type
Individual
Sex (as registered)
Male
NPI issued
14 May 2013
Record last updated
14 May 2013

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.