ELIZABETH WAGNER, PSYD, LP, INC.
Organization (NPI-2)
Active
Psychologist, Clinical
Provider Information
- NPI Number
1740637818- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 4500 PARK GLEN RD SUITE 450, SAINT LOUIS PARK, MN, 554164871
- Phone
- (952) 444-9744
- Fax
- (952) 444-9745
Specialties & Taxonomies
Psychologist, Clinical
Primary License: MN #5833