| Wagner & Associates Pllc | |
|
143 E Merritt St Prescott AZ 86301-2028 | |
| (928) 445-5027 | |
| (928) 445-7071 |
| Full Name | Wagner & Associates Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 143 E Merritt St, Prescott, Arizona |
| Authorized Official Name and Position | Russell Wagner (PSYCHOLOGIST) |
| Authorized Official Contact | 9284455027 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wagner & Associates Pllc 143 E Merritt St Prescott AZ 86301-2028 Ph: (928) 445-5027 | Wagner & Associates Pllc 143 E Merritt St Prescott AZ 86301-2028 Ph: (928) 445-5027 |
| NPI Number | 1841474814 |
|---|---|
| Provider Enumeration Date | 12/26/2007 |
| Last Update Date | 01/25/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841474814 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 1592 (Arizona) | Primary |
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