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Nicole S. Wagner, Ph.d., Llc
Clinical Psychologist in Lakewood, Ohio
NPI 1053589135

Nicole S. Wagner, Ph.d., Llc is a Clinical Psychologist based in Lakewood, OH and is specialized in Clinical. Nicole S. Wagner, Ph.d., Llc practices in Lakewood, OH. The NPI Number for Nicole S. Wagner, Ph.d., Llc is 1053589135 and holds a License No. 6025 (Ohio).

The current practice location address for Nicole S. Wagner, Ph.d., Llc is 11740 Clifton Blvd, Lakewood, OH and can be reached out via phone at 216-548-5469.

Location: 11740 Clifton Blvd, Lakewood, OH, 44107-2057
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1053589135
Provider Name
Nicole S. Wagner, Ph.d., Llc
Credential
Provider Entity Type
Organization
Address
11740 Clifton Blvd, Lakewood, OH, 44107-2057
Phone Number
216-548-5469
Fax Number
Provider Enumeration Date
02/12/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
11740 Clifton Blvd
City
Lakewood
State
Ohio
Zip
44107-2057
Phone Number
216-548-5469
Fax Number
person
Provider Business Mailing Address Details
Address
11740 Clifton Blvd
City
Lakewood
State
Ohio
Zip
44107-2057
Phone Number
216-548-5469
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
103TC0700X
License No.
6025 (Ohio)
Definition
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.
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