Individual
JOHN J WAGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D
Contact information
Practice address
7374 READING RD STE 110, CINCINNATI, OH 45237-3409
(937) 620-0542
(513) 299-0537
Mailing address
2106 KNIGHTSBRIDGE DR, CINCINNATI, OH 45244-2629
(513) 388-0254
(513) 388-0254
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6292
OH
Other
Enumeration date
01/24/2007
Last updated
08/25/2021
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