IndividualActive
Alexandra Wagener, M.A.
NPI 1275848715 · Clinical Psychologist · Minneapolis, MN
Provider details
- NPI number
- 1275848715
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Credential
- M.A.
- Sex
- Female
- Sole proprietor
- Yes
- License
- T-LMLP 1332 (KS)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
5105 Woodlawn Blvd
Minneapolis, MN 55417-1349
Phone: (612) 710-1872
Approximate (ZIP-level) locationGet directions
Mailing address
5105 Woodlawn Blvd
Minneapolis, MN 55417-1349
Registry dates
- Enumerated
- 2010-08-09
- Last updated
- 2012-07-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.