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Individual

RICHARD J WAGMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
2238 E GINTER ROAD, SUNNYSIDE UNIFIED SCHOOL DISTRICT NO 12, TUCSON, AZ 85706
(520) 545-2137
(520) 545-2120
Mailing address
2238 E GINTER ROAD, SUNNYSIDE UNIFIED SCHOOL DISTRICT NO 12, TUCSON, AZ 95706
(520) 545-2137
(520) 545-2120

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
1488
AZ
103TS0200X
School Psychologist
Primary
1488
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
540342
AZ
Enumeration date
01/18/2007
Last updated
09/11/2025
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