Waggener, Ellen L.

Waggener, Ellen L. is an individual health care provider with primary practice located at 241 North Rd , Poughkeepsie NY 12601-1154. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Waggener, Ellen L. can be contacted via phone (845) 431-8872.

Contact Information

Primary practice address
241 North Rd Poughkeepsie NY 12601-1154
Phone: (845) 431-8872
Fax: (845) 485-4113
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 007671-1 New York
Behavioral Health & Social Service Providers / Psychologist 103T00000X 007671-1 New York

Profile Details

NPI number 1518086354
LBN Legal business name Waggener, Ellen L.
Credentials PH.D
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2007
Last updated Apr 23rd, 2014 - about 10 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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Identifiers

StateTypeNumberIssuer
All States NPI 1518086354 NPPES
New York MEDICAID 00273845

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