AUDREY WAGNER (PH.D.) – Clinical Psychologist, NPI 1922047679

AUDREY WAGNER (PH.D.) is a healthcare provider. based in Watertown, Massachusetts. specializing in Clinical Psychologist. They hold the professional credentials PH.D.. They hold a License No. 4685 (MA). The NPI Number for AUDREY WAGNER (PH.D.) is 1922047679

Main info

Female
Sole Proprietor
Name
AUDREY WAGNER (PH.D.)
NPI
1922047679
Phone
Not provided
Address
173 MOUNT AUBURN ST
Enumeration Date
6 June 2006
Last Update Date
8 July 2007
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for AUDREY WAGNER (PH.D.)

  • 173, Mount Auburn Street, Watertown, Middlesex County, Massachusetts, 02472, United States

    WATERTOWN, MA 024724005

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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Medicare Utilization (FFS)

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Insurance plans in this area (ZIP 02472)

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Frequently asked questions

What unique ID ties claims to AUDREY WAGNER (PH.D.)?
NPI 1922047679 is assigned to AUDREY WAGNER (PH.D.) under the national enumeration system.
Does this profile mean AUDREY WAGNER (PH.D.) is currently active?
Yes — AUDREY WAGNER (PH.D.) appears active in the national provider directory.
Can you summarize AUDREY WAGNER (PH.D.)'s specialty in plain language?
Clinically, the directory lists AUDREY WAGNER (PH.D.) with Clinical Psychologist. Clinical services aligned with this taxonomy classification.
What location metadata exists for AUDREY WAGNER (PH.D.)?
The page summarizes Watertown, Massachusetts for AUDREY WAGNER (PH.D.); expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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