Dr. Mark Wagner, PSYD
Psychologist, Clinical in Sudbury, Massachusetts
1780737924- Practice location
- 23 Pokonoket Ave, Sudbury, MA 01776-2320
- Phone
- 978-443-6769
- Fax
- —
- Last updated
- May 1, 2008
Mark Wagner is a Psychologist, Clinical based in Sudbury, MA. Mark Wagner practices in Sudbury, MA and has the professional credentials of PSYD. The NPI Number for Mark Wagner is 1780737924 and holds a License No. 4472 (MA). The current practice location address for Mark Wagner is 23 Pokonoket Ave, Sudbury, MA 01776-2320 and can be reached out via phone at 978-443-6769.
Provider Profile Details
- NPI Number
- 1780737924
- Provider Name
- Mark Wagner
- Credential
- PSYD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 23 Pokonoket Ave, Sudbury, MA 01776-2320
- Phone Number
- 978-443-6769
- Primary Taxonomy
- Psychologist, Clinical · 103TC0700X
- Sole Proprietor
- Yes
- Other Names
- Dr. John Mark Wagner, PSYD (Professional Name)
- Provider Enumeration Date
- January 19, 2007
- Last Update Date
- May 1, 2008
- 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
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
License Information
- License Number
- 4472
- 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. Mark Wagner, PSYD?
The NPI number of Dr. Mark Wagner, PSYD is 1780737924. It was assigned on January 19, 2007 and is currently active in the NPPES registry.
What is the specialty of Dr. Mark Wagner, PSYD?
Dr. Mark Wagner, PSYD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in MA under license number 4472.
Where does Dr. Mark Wagner, PSYD practice?
The practice location is 23 Pokonoket Ave, Sudbury, MA 01776-2320. The office can be reached at 978-443-6769 (phone).
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 1780737924 directly on the NPPES registry website.