IndividualActive
Brianne Wagner
NPI 1407990310 · School Psychologist · Newark, DE
Provider details
- NPI number
- 1407990310
- Entity type
- Individual
- Primary specialty
- School PsychologistBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 9498 (DE)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
200 Tyre Ave
Newark, DE 19711-7136
Phone: (302) 454-2047
Approximate (ZIP-level) locationGet directions
Mailing address
200 Tyre Ave
Newark, DE 19711-7136
Registry dates
- Enumerated
- 2007-02-16
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.