Organization
WAGNER PSYCHOTHERAPY LLC
Active
Organization
WAGNER PSYCHOTHERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DIANE WAGNER PHD (OWNER)
(703) 646-1518
Entity
Organization
Contact information
Practice address
8280 WILLOW OAKS CORPORATE DRIVE, SUITE 600 - #5752, FAIRFAX, VA 22031-4516
(703) 646-1518
Mailing address
10911 ADARE DR, FAIRFAX, VA 22032-3105
(703) 646-1518
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
08/27/2021
Last updated
08/27/2021
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up