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Rebecca Wagner, PHD
Clinical Psychologist in Colorado Springs, Colorado
NPI 1407900632

Rebecca Wagner is a Clinical Psychologist based in Colorado Springs, CO and is specialized in Clinical. Rebecca Wagner practices in Colorado Springs, CO and has the professional credentials of PHD. The NPI Number for Rebecca Wagner is 1407900632 and holds a License No. 1139 (Colorado).

The current practice location address for Rebecca Wagner is 1259 Lake Plaza Dr Ste 255, Colorado Springs, CO and can be reached out via phone at 719-598-3585. You can also correspond with Rebecca Wagner through the mailing address at 1259 LAKE PLAZA DR STE 255, COLORADO SPRINGS, CO - 80906-3504 (mailing address contact number: 719-598-3585).

Location: 1259 Lake Plaza Dr Ste 255, Colorado Springs, CO, 80906-3504
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1407900632
Provider Name
Rebecca Wagner
Credential
PHD
Provider Entity Type
Individual
Gender
Female
Address
1259 Lake Plaza Dr Ste 255, Colorado Springs, CO, 80906-3504
Phone Number
719-598-3585
Fax Number
Provider Enumeration Date
01/23/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PS0478 05 SC
institution
Provider Business Practice Location Address Details
Address
1259 Lake Plaza Dr Ste 255
City
Colorado Springs
State
Colorado
Zip
80906-3504
Phone Number
719-598-3585
Fax Number
person
Provider Business Mailing Address Details
Address
1259 Lake Plaza Dr Ste 255
City
Colorado Springs
State
Colorado
Zip
80906-3504
Phone Number
719-598-3585
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Clinical Neuropsychologist
Speciality
-
Taxonomy
103G00000X
License No.
PSY.0005316 (Colorado)
Definition
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
103TC0700X
License No.
1139 (South Carolina)
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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