Michael C. Wagner, PSY.D

Psychologist · Frederick, MD

Individual Active NPI

NPI number 1598045841

Practice location

10 N Jefferson St
Suite 403
Frederick, MD 21701-3500
Phone
(301) 620-8700
Fax
(301) 620-8710

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NPI record

NPI
1598045841
Entity type
Individual (Type 1)
Enumeration date
August 18, 2011
Last updated
March 25, 2014
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Psychologist Primary 103T00000X 05275 MD
Clinical Psychologist 103TC0700X 0810004819 VA

About Dr. Wagner

Michael C. Wagner, PSY.D is a healthcare provider registered in the NPI registry with the primary taxonomy Psychologist (code 103T00000X). The practice location is 10 N Jefferson St, Suite 403, Frederick, MD 21701-3500. The NPI number 1598045841 was assigned on August 18, 2011 and the record was last updated on March 25, 2014.

Dr. Wagner lists 2 licenses in the registry: #05275 (MD) for Psychologist; #0810004819 (VA) for Clinical Psychologist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Michael C. Wagner, PSY.D?

The NPI number is 1598045841.

What is the phone number of Dr. Wagner?

The phone number listed for the practice location is (301) 620-8700.

Where is Dr. Wagner located?

10 N Jefferson St, Suite 403, Frederick, MD 21701-3500.

What is the taxonomy code for Dr. Wagner?

The primary taxonomy code is 103T00000X – Psychologist; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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