Individual
DR. MELISSA CHANELL WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1111 E MCDOWELL RD, PHOENIX, AZ 85006-2612
(480) 241-8122
Mailing address
3929 S NEBRASKA ST, CHANDLER, AZ 85248-4571
(480) 241-8122
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY-005630
AZ
Other
Enumeration date
10/12/2023
Last updated
10/12/2023
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