Organization
SAMANTHA A. WAGNER, PHD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMANTHA ANN WAGNER PH.D. (PSYCHOLOGIST)
(813) 815-2947
Entity
Organization
Contact information
Practice address
20747 STERLINGTON DR, LAND O LAKES, FL 34638-4317
(813) 815-2947
Mailing address
20747 STERLINGTON DR, LAND O LAKES, FL 34638-4317
(813) 815-2947
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
08/30/2023
Last updated
08/30/2023
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