Male or Other

Dr. George L. Wagaman ED.D.

Psychologist in Chapel Hill, NC(View on Map)

Full Name

Dr. George Lane Wagaman ED.D.

NPI Number

1699854042

NPI Type

Individual Provider

Gender

Male

Enumeration Date

11/06/2006

Specialties

(Taxonomies)

Code

103T00000X
103TC0700X
103TB0200X
103TC1900X
103TF0200X
103TH0100X

Primary Taxonomy

Yes
No
No
No
No
No

Licenses

State

West Virginia

License Number

182

Contact
Information

Purpose

Mailing
Location

Address

7332 CAPULIN CREST DR
100 EUROPA DR

City

Apex
Chapel Hill

State

NC
NC

Postal Code

27539-4106
27517-2357

Country

US
US

Telephone Number

(919) 803-6393
(919) 929-1227

Identifiers

Identifier

9205024000
001712519

Identifier State

WV
WV

Identifier Issuer

Unknown
BCBS MTN STATE

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 03/01/2010

Provider Address

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