MARK S. WAGNER

PHILADELPHIA, PA
NPI1184647356
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: PA  PS 003973L)
Enumeration Date2006-07-26
Last Update Date2007-07-08
Business Address
Dr. MARK S. WAGNER Ph.D.
2824 COTTMAN AVE SUITE 8
PHILADELPHIA, PA 19149-1400
Phone number: 215-331-7707
Mailing Address
Dr. MARK S. WAGNER Ph.D.
2824 COTTMAN AVE SUITE 8
PHILADELPHIA, PA 19149-1400
Phone number: 215-331-7707