Individual
JOEL R. WAGAMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
2118 CATON WAY SW, OLYMPIA, WA 98502-1105
(360) 352-6846
(360) 352-3289
Mailing address
2118 CATON WAY SW, OLYMPIA, WA 98502-1105
(360) 870-6396
(360) 352-3289
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
PY00002448
WA
Other
Enumeration date
12/31/2006
Last updated
05/08/2024
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