Wagner, Amanda

Wagner, Amanda is an sole proprietor health care provider with primary practice located at 49 E Midland Ave , Paramus NJ 07652-2920. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Counseling. Behavioral Health & Social Service Providers / Counseling is her primary health care specialty. Wagner, Amanda can be contacted via phone (201) 921-0256.

Contact Information

Primary practice address
49 E Midland Ave Paramus NJ 07652-2920
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 37PC00547200 New Jersey
Behavioral Health & Social Service Providers / Counseling 103TC1900X 35SI00692600 New Jersey

Profile Details

NPI number 1144683574
LBN Legal business name Wagner, Amanda
Credentials PSY.D., LPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 2nd, 2016
Last updated Jan 1st, 2023 - about last year

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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