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

Individual provider Clinical Psychologist · NPI 1184647356

Dr. Mark S. Wagner, PHD is a Clinical Psychologist in Philadelphia, Pennsylvania. Practices as a sole proprietor. Licensed in Pennsylvania.

Licensed in
PA
In the registry since
2006
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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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 003973L (PA)

Record details

NPI number1184647356
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedJuly 26, 2006
Last updated in NPPESJuly 8, 2007

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