Individual
DR. CAITLIN A MARTIN-WAGAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
6575 JUSTIN CT, MISSOULA, MT 59803-2968
(440) 832-0974
Mailing address
6575 JUSTIN CT, MISSOULA, MT 59803-2968
(440) 832-0974
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
3789
MT
103TC0700X
Clinical Psychologist
3789
MT
103TC1900X
Counseling Psychologist
Primary
3789
MT
103TC2200X
Clinical Child & Adolescent Psychologist
3789
MT
103TH0100X
Health Service Psychologist
3789
MT
103TP2701X
Group Psychotherapy Psychologist
3789
MT
Other
Enumeration date
04/28/2022
Last updated
04/28/2022
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