Wagner, Amy Claire
Wagner, Amy Claire is an sole proprietor health care provider with primary practice located at 104 Central Park Ave , Wilmette IL 60091-3202. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Wagner, Amy Claire can be contacted via phone (847) 721-0965.Contact Information
Primary practice address
104 Central Park Ave
Wilmette IL 60091-3202
Phone: (847) 721-0965
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 071003893 | Illinois |
Profile Details
| NPI number | 1568516698 |
|---|---|
| LBN Legal business name | Wagner, Amy Claire |
| Credentials | PH.D., L.M.F.T. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 23rd, 2007 |
| Last updated | Aug 7th, 2020 - about 5 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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