Dr. James Nile Wagley
Clinical Psychologist Addiction Psychologist (Substance Use Disorder)
1108 E Market St
Charlottesville
, Virginia 22902-5351
Dr. James Nile Wagley
Clinical Psychologist Addiction Psychologist (Substance Use Disorder)
1108 E Market St
Charlottesville
, Virginia 22902-5351
(434) 207-8773
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About
Features
Specialties
- Addiction Psychologist (Substance Use Disorder)
- Clinical Psychologist
Languages spoken
- English
Location
First Address
- Dr. James Nile Wagley
- 1108 E Market St
- Charlottesville, VA
- Zip : 22902-5351
- Phone : (434) 207-8773
Second Address
- Dr. James Nile Wagley
- 1108 E Market St
- Charlottesville, VA
- Zip : 22902-5351
- Phone : (434) 207-8773
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 103TA0400X | Addiction Psychologist (Substance Use Disorder) | 0810004358 | VA |
| Y | 103G00000X | Clinical Psychologist | 0810004358 | VA |
| Y | 103TC0700X | Clinical Psychologist | 0810004358 | VA |
National Provider Identifier
| NPI | 1548496177 |
|---|---|
| Provider Name | Dr. James Nile Wagley |
| First Address | Charlottesville, VA 22902-5351 |
| Second Address | Charlottesville, VA 22902-5351 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/06/2009 |
| Last Update Date | 16/08/2011 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.