Bagley, Wylie James

Bagley, Wylie James is an individual health care provider with primary practice located at 3585 Hawver Rd. , San Andreas CA 95249. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Bagley, Wylie James can be contacted via phone (209) 754-1249.

Contact Information

Primary practice address
3585 Hawver Rd. San Andreas CA 95249
Phone: (209) 754-1249
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 1016 Louisiana
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 122872 California

Profile Details

NPI number 1487666186
LBN Legal business name Bagley, Wylie James
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2006
Last updated May 24th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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