Individual
DR. DANIEL BEN WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
14808 PHYSICIANS LN, 111, ROCKVILLE, MD 20850-3942
(301) 869-1017
(240) 235-4353
Mailing address
14808 PHYSICIANS LN, 111, ROCKVILLE, MD 20850-3942
(301) 869-1017
(240) 235-4353
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
017505
NY
103T00000X
Psychologist
Primary
04954
MD
Other
Enumeration date
04/29/2008
Last updated
04/28/2014
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