Wagner, Amanda

Wagner, Amanda is an sole proprietor health care provider with primary practice located at 3457 Brook Crossing Dr , Brandon FL 33511-8181. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Wagner, Amanda can be contacted via phone (813) 767-8366.

Contact Information

Primary practice address
3457 Brook Crossing Dr Brandon FL 33511-8181
Phone: (813) 767-8366
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X MT2858 Florida

Profile Details

NPI number 1831576081
LBN Legal business name Wagner, Amanda
Credentials M.ED., ED.S., LMFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 27th, 2015
Last updated Apr 27th, 2015 - about 9 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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