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ALLISON WAGNER PHD
NPI 1699304311
Psychologist - Clinical in San Diego, CA

Active since April 04, 2020
4510 EXECUTIVE DRIVE SUITE 315, SAN DIEGO, CA 92121(203) 667-6097 Get Directions Write a Review

NPPES record last updated: November 9, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 9, 2021, Oct 3, 2021, Apr 4, 2020 (3 updates tracked since 2020).

About Allison Wagner Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALLISON WAGNER PHD (NPI 1699304311) is an individual clinical provider in San Diego, California, licensed in California (32859) and active in the NPI registry since April 2020.

NPPES Registry Identity

NPI1699304311
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameALLISON WAGNERCredential: PHD
Location Address4510 EXECUTIVE DRIVE SUITE 315San Diego, CA 92121-2360
Mailing Address4510 Executive Dr Ste 315San Diego, CA 92121-3029 · (203) 667-6097
Phone(203) 667-6097
Sole ProprietorNo
Enumeration DateApril 4, 2020
Last NPPES UpdateNovember 9, 20213 updates tracked since enumeration
NPPES CertifiedNovember 9, 2021
✔ NPI 1699304311 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in CA · 32859
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
4510 EXECUTIVE DRIVE SUITE 315, San Diego, CA 92121
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Allison Wagner's NPI number?

The NPI number for Allison Wagner is 1699304311. It was assigned to this individual provider in the NPPES registry on April 4, 2020.

Where is Allison Wagner located?

Allison Wagner practices at 4510 Executive Drive Suite 315, San Diego, CA 92121. The listed phone number is (203) 667-6097.

What is Allison Wagner's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Allison Wagner was last updated on November 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.