Wagner, Brenda J
Wagner, Brenda J is an individual health care provider with primary practice located at 5455 Meridian Mark Rd Ne Ste 400, Atlanta GA 30342. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Wagner, Brenda J can be contacted via phone (404) 785-3240.Contact Information
Primary practice address
5455 Meridian Mark Rd Ne Ste 400
Atlanta GA 30342
Phone: (404) 785-3240
Fax: (404) 785-3600
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 001706 | Georgia |
Profile Details
| NPI number | 1083663272 |
|---|---|
| LBN Legal business name | Wagner, Brenda J |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 8th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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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