ELIZABETH STANTON WAGNER

RIVERSIDE, RI
NPI1831629336
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: RI  MD18427)
Additional Taxonomies208000000X Pediatrics
(Licence: RI  LP04105)
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: RI  LP04105)
2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry
(Licence: RI  LP04105)
Enumeration Date2017-06-15
Last Update Date2022-08-24
Business Address
Dr. ELIZABETH STANTON WAGNER MD, MPH
1011 VETERANS MEMORIAL PKWY
RIVERSIDE, RI 02915-5061
Phone number: 401-432-1000
Mailing Address
Dr. ELIZABETH STANTON WAGNER MD, MPH
117 ELLENFIELD ST STE 101
PROVIDENCE, RI 02905-4541
Phone number: 401-444-6779