Dr. Mara S Wagner, PSYD
Psychologist, Clinical in Sudbury, Massachusetts
1245455138- Practice location
- 23 Pokonoket Ave, Sudbury, MA 01776-2320
- Phone
- 978-443-6769
- Fax
- 978-440-9914
- Last updated
- July 8, 2007
Mara Sanadi Wagner is a Psychologist, Clinical based in Sudbury, MA. Mara Sanadi Wagner practices in Sudbury, MA and has the professional credentials of PSYD. The NPI Number for Mara Sanadi Wagner is 1245455138 and holds a License No. 4122 (MA). The current practice location address for Mara Sanadi Wagner is 23 Pokonoket Ave, Sudbury, MA 01776-2320 and can be reached out via phone at 978-443-6769 and via fax at 978-440-9914.
Provider Profile Details
- NPI Number
- 1245455138
- Provider Name
- Mara Sanadi Wagner
- Credential
- PSYD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 23 Pokonoket Ave, Sudbury, MA 01776-2320
- Phone Number
- 978-443-6769
- Fax Number
- 978-440-9914
- Primary Taxonomy
- Psychologist, Clinical · 103TC0700X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- April 16, 2007
- Last Update Date
- July 8, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 23 Pokonoket Ave
Sudbury, MA 01776-2320 - City
- Sudbury
- State
- Massachusetts
- Zip
- 01776-2320
- Phone Number
- 978-443-6769
- Fax Number
- 978-440-9914
Provider Business Mailing Address Details
- Address
- 23 Pokonoket Ave
Sudbury, MA 01776-2320 - City
- Sudbury
- State
- MA
- Zip
- 01776-2320
- Phone Number
- 978-443-6769
- Fax Number
- 978-440-9914
License Information
- License Number
- 4122
- License State
- MA
- Taxonomy
- Psychologist, Clinical · 103TC0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Mara S Wagner, PSYD?
The NPI number of Dr. Mara S Wagner, PSYD is 1245455138. It was assigned on April 16, 2007 and is currently active in the NPPES registry.
What is the specialty of Dr. Mara S Wagner, PSYD?
Dr. Mara S Wagner, PSYD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in MA under license number 4122.
Where does Dr. Mara S Wagner, PSYD practice?
The practice location is 23 Pokonoket Ave, Sudbury, MA 01776-2320. The office can be reached at 978-443-6769 (phone) or 978-440-9914 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1245455138 directly on the NPPES registry website.