Individual
DR. JAMES NILE WAGLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1108 E MARKET ST, CHARLOTTESVILLE, VA 22902-5351
(434) 207-8773
Mailing address
1108 E MARKET ST, CHARLOTTESVILLE, VA 22902-5351
(434) 207-8773
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
0810004358
VA
103TC0700X
Clinical Psychologist
Primary
0810004358
VA
Other
Enumeration date
06/10/2009
Last updated
08/16/2011
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