National Provider Identifier Database

NICOLE S WAGNER, PhD – NPI #1295803476
Clinical

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth — one that is broadly inclusive of severe psychopathology — and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.


Contact Information

NICOLE S WAGNER, PhD
29525 CHAGRIN BLVD STE 313
BEACHWOOD, OH44122
Phone: 216-548-5469
Fax:
Website:
Specialty Taxonomy Code
* Clinical 103TC0700X

* Indicates primary specialty

NPI Profile & details for NICOLE S WAGNER

NPI Number 1295803476
Credentials PhD
Entity Individual
Enumeration date 12/04/2006
Last updated 07/20/2022 - About 4 years ago
Sole proprietor1 Yes
Identifiers
  • OH License #: 6025
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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