Individual
DR. KARL FREDERIC WAGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
875 MASSACHUSETTS AVE, SUITE 84, CAMBRIDGE, MA 02139-3067
(617) 494-1650
(617) 494-1975
Mailing address
875 MASSACHUSETTS AVE, SUITE 84, CAMBRIDGE, MA 02139-3067
(617) 494-1650
(617) 494-1975
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
7443
MA
Other
Enumeration date
07/08/2008
Last updated
07/08/2008
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