| NPI | 1255654224 |
|---|---|
| Doing Business As | POWELL & WAGNER ASSOCIATES, INC. |
| Entity Type | Organization |
| Authorized Contact | KARL WAGNER President 617-494-1650 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MA 7433) |
| Enumeration Date | 2010-03-05 |
| Last Update Date | 2010-03-05 |