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Michael James Wagner, PHD
Psychologist in Tucson, Arizona
NPI 1013154293

Michael James Wagner is a Psychologist based in Tucson, AZ. Michael James Wagner practices in Tucson, AZ and has the professional credentials of PHD. The NPI Number for Michael James Wagner is 1013154293 and holds a License No. 0119031 (Arizona).

The current practice location address for Michael James Wagner is 10207 E Shady Rock Ln, Tucson, AZ and can be reached out via phone at 520-631-2067.

Location: 10207 E Shady Rock Ln, Tucson, AZ, 85749-8162
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1013154293
Provider Name
Michael James Wagner
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
10207 E Shady Rock Ln, Tucson, AZ, 85749-8162
Phone Number
520-631-2067
Fax Number
Provider Enumeration Date
01/09/2009
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
78558 05 NM
institution
Provider Business Practice Location Address Details
Address
10207 E Shady Rock Ln
City
Tucson
State
Arizona
Zip
85749-8162
Phone Number
520-631-2067
Fax Number
person
Provider Business Mailing Address Details
Address
10207 E Shady Rock Ln
City
Tucson
State
Arizona
Zip
85749-8162
Phone Number
520-631-2067
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
4297 (Arizona)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
-
Taxonomy
103T00000X
License No.
0119031 (New Mexico)
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
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