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Gwendolyne Wagner

NPI 1891021671 · on the registry since 2009 · sole proprietor

Practice

Address
2001 The Alameda
San Jose, CA 95126
Phone
(408) 261-7777
Fax
(408) 261-8299
Organisation at this address
Momentum
Tami Thomason
Momentum For Health
Momentum For Health
Momentum For Health
Inferred from a shared address, not stated in the registry.
Clinicians at this address
611

Registry record

Primary taxonomy
Clinical Psychologist
103TC0700X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2016-12-01
Status
Not present in the most recent federal file

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 California