IndividualActive
Joel Wagaman, PH.D.
NPI 1952467045 · Clinical Child & Adolescent Psychologist · Olympia, WA
Provider details
- NPI number
- 1952467045
- Entity type
- Individual
- Primary specialty
- Clinical Child & Adolescent PsychologistBehavioral Health & Social Service Providers
- Credential
- PH.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- PY00002448 (WA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
2118 Caton Way Sw
Olympia, WA 98502-1105
Phone: (360) 352-6846
Fax: (360) 352-3289
Approximate (ZIP-level) locationGet directions
Mailing address
2118 Caton Way Sw
Olympia, WA 98502-1105
Additional practice locations (1)
- 615 N 2nd StTacoma, WA 98403-2232Phone: (360) 352-6846
Registry dates
- Enumerated
- 2006-12-31
- Last updated
- 2024-05-08
- Certified
- 2024-05-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.