SearchVirginiaClinical Psychologist

Diane Wagner

NPI 1194211540 · on the registry since 2018

Practice

Address
11325 Random Hills Rd Ste 360
Fairfax, VA 22030
Phone
(703) 646-1518
Organisation at this address
Elite Logicare Group
Vastor Medirides, Llc
Hablee Home Care & Services Llc
Face It Counseling Services, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
5

Registry record

Primary taxonomy
Clinical Psychologist
103TC0700X
Licence states on file
VA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-08-27

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia