Organization
MIDDLE GEORGIA PSYCHOLOGICAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KRISTIN ANN JESSOP WAGNER PSYD (CLINICAL PSYCHOLOGIST)
(478) 929-0294
Entity
Organization
Contact information
Practice address
2278 MOODY RD STE D, WARNER ROBINS, GA 31088-1933
(478) 929-0294
(478) 923-9770
Mailing address
2278 MOODY RD STE D, WARNER ROBINS, GA 31088-1933
(478) 929-0294
(478) 923-9770
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/22/2023
Last updated
03/22/2023
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