Wagman, Richard J

Wagman, Richard J is an individual health care provider with primary practice located at 2238 E Ginter Road Sunnyside Unified School District No 12, Tucson AZ 85706. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Wagman, Richard J can be contacted via phone (520) 545-2137.

Contact Information

Primary practice address
2238 E Ginter Road Sunnyside Unified School District No 12 Tucson AZ 85706
Phone: (520) 545-2137
Fax: (520) 545-2120
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 1488 Arizona
Behavioral Health & Social Service Providers / School 103TS0200X 1488 Arizona

Profile Details

NPI number 1225181084
LBN Legal business name Wagman, Richard J
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2007
Last updated Jul 9th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1225181084 NPPES
Arizona MEDICAID 540342

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