Individual
DR. LILIANA WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1500 HIGHLAND AVE, MADISON, WI 53705-2274
(608) 890-3622
(608) 265-7429
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
5185
WI
103TC2200X
Clinical Child & Adolescent Psychologist
3564
TN
Other
Enumeration date
07/10/2017
Last updated
06/28/2024
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