Brenda J Wagner PHD

NPI 1083663272 - Psychologist - 103T00000X

NPI Details
NPI 1083663272
Gender Female
Enumeration Date 05/08/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
5455 MERIDIAN MARK RD NE
STE 400
ATLANTA GA, 30342, US
Phone (404) 785-3240
Fax (404) 785-3600
Business Location
5455 MERIDIAN MARK RD NE
STE 400
ATLANTA GA, 30342, US
Phone (404) 785-3240
Fax (404) 785-3600
Toxanomy
Taxonomy Code 103T00000X
License State Georgia
License Number 001706
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According to our database, Brenda J Wagner PHD NPI is 1083663272, taxonomy code is 103T00000X and license number is 001706, license state is located at Georgia. Brenda J Wagner PHD physically located at 5455 Meridian Mark Rd Ne, Atlanta GA, 30342. NPI Number Brenda J Wagner PHD has the Individual type.

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1083663272 NPI number is provided on an as is basis without warranty of any kind. 1083663272 is maintained by the National Plan & Provider Enumeration System. The contents of Brenda J Wagner PHD are for informational purposes only.