Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Wagner Psychological Associates

Organization Clinical Psychologist · NPI 1588628903

Wagner Psychological Associates is a Clinical Psychologist in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2006.

Licensed in
PA
In the registry since
2006

Practice location Address checks out

2824 Cottman Ave Ste 8
Philadelphia, PA 19149-1400
Phone: (215) 331-7707
Fax: (215) 331-7790
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PS-003973-L (PA)

Record details

NPI number1588628903
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mark Wagner — Director · (215) 331-7707
NPI enumeratedApril 13, 2006
Last updated in NPPESAugust 22, 2020
Mailing address2824 Cottman Ave, Suite 8, Philadelphia, PA 19149-1400

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