Wagener, Erica

Wagener, Erica is an individual health care provider with primary practice located at 401 Bicentennial Way , Santa Rosa CA 95403-2149. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Wagener, Erica can be contacted via phone (707) 571-3753.

Contact Information

Primary practice address
401 Bicentennial Way Santa Rosa CA 95403-2149
Phone: (707) 571-3753
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSB31542 California

Profile Details

NPI number 1326185463
LBN Legal business name Wagener, Erica
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2007
Last updated Sep 12th, 2007 - about 17 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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