Individual
ANGELA L WAGENAAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1020 N 27TH ST, BILLINGS, MT 59101-0760
(406) 238-2500
Mailing address
PO BOX 35100, BILLINGS, MT 59107-5100
(406) 238-2500
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
509
WY
Other
Enumeration date
11/07/2006
Last updated
09/12/2019
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