Individual
REBECCA ANN WAGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
20 LONG CREEK RD, AUSTIN, TX 78737-9303
(713) 338-1927
Mailing address
20 LONG CREEK RD, AUSTIN, TX 78737-9303
(713) 338-1927
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
34665
TX
Other
Enumeration date
07/11/2007
Last updated
12/22/2025
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