Wagner, David Michael

Wagner, David Michael is an sole proprietor health care provider with primary practice located at 8335 40Th Ave N , St Petersburg FL 33709-3934. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Wagner, David Michael can be contacted via phone (727) 344-0315.

Contact Information

Primary practice address
8335 40Th Ave N St Petersburg FL 33709-3934
Phone: (727) 344-0315
Fax: (727) 344-0315
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X MH1455 Florida

Profile Details

NPI number 1538236757
LBN Legal business name Wagner, David Michael
Credentials LMHC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 30th, 2006
Last updated Jul 8th, 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 1538236757 NPPES
Florida Other MH1455 LMHC LICENSE NUMBER

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