Brenda J Wagner, PHD - Psychologist in Atlanta, GA

Brenda J Wagner, PHD is a Psychologist based in Atlanta, Georgia. Brenda J Wagner is licensed to practice in Georgia (license number 001706) and her current practice location is 5455 Meridian Mark Rd Ne, Ste 400, Atlanta, Georgia. She can be reached at her office (for appointments etc.) via phone at (404) 785-3240.

NPI number for Brenda J Wagner is 1083663272 and her current mailing address is 5455 Meridian Mark Rd Ne, Ste 400, Atlanta, Georgia. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1083663272.

Contact Information

Brenda J Wagner, PHD
5455 Meridian Mark Rd Ne, Ste 400,
Atlanta, GA 30342
(404) 785-3240
(404) 785-3600



Healthcare Provider's Profile

Full NameBrenda J Wagner
GenderFemale
SpecialityPsychologist
Location5455 Meridian Mark Rd Ne, Atlanta, Georgia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1083663272
  • Provider Enumeration Date: 05/08/2006
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Brenda J Wagner such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083663272NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103T00000XPsychologist 001706 (Georgia)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Brenda J Wagner is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Brenda J Wagner, PHD
5455 Meridian Mark Rd Ne, Ste 400,
Atlanta, GA 30342

Ph: (404) 785-3240
Brenda J Wagner, PHD
5455 Meridian Mark Rd Ne, Ste 400,
Atlanta, GA 30342

Ph: (404) 785-3240

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› Verified 3 days ago


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