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DIANE WAGNER
Clinical Psychologist
NPI: 1194211540IndividualAccepts Medicare
Specialties, Licenses & Credentials
Clinical PsychologistPrimary
Psychologist — Clinical
Code: 103TC0700X
0810006006(VA)
CMS Specialties
PrimaryCLINICAL PSYCHOLOGIST
Education
OTHER
Class of 2017
Contact & Hours
- Address
- 11325 RANDOM HILLS RD STE 360
FAIRFAX, VA 22030 - Phone
- (703) 646-1518
Quick Facts
- NPI
- 1194211540
- Entity Type
- Individual
- Gender
- Female
- Medicare
- Accepted
- Specialties
- 1
- Locations
- 1
- Years in Practice
- 9
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