Individual
DR. ALISHA LYNN WAGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
6750 WEST LOOP S, SUITE 725, BELLAIRE, TX 77401-4103
(713) 854-5400
Mailing address
PO BOX 2273, BELLAIRE, TX 77402-2273
(713) 854-5400
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
31571
TX
Other
Enumeration date
05/28/2014
Last updated
10/31/2014
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