Individual
CHRISTINA WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1542 S BLOOMINGTON ST, GREENCASTLE, IN 46135-2212
(765) 301-7449
Mailing address
5405 TUCKERMAN LN APT 667, NORTH BETHESDA, MD 20852-7325
(317) 809-7661
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
20042201A
IN
103TC0700X
Clinical Psychologist
Primary
20042201A
IN
Other
Enumeration date
04/05/2011
Last updated
10/24/2025
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