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)Name
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