Wagener, Stephanie S
Wagener, Stephanie S is an individual health care provider with primary practice located at 508 Gregory St , Scottsboro AL 35768-4239. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Wagener, Stephanie S can be contacted via phone (256) 259-1774.Contact Information
Primary practice address
508 Gregory St
Scottsboro AL 35768-4239
Phone: (256) 259-1774
Fax: (256) 259-0761
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X |
Profile Details
| NPI number | 1770694184 |
|---|---|
| LBN Legal business name | Wagener, Stephanie S |
| Credentials | Master of Arts (MA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 31st, 2006 |
| Last updated | Jul 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770694184 | NPPES |
| Alabama | Other | 51535932 | BCBS |
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