Wagner, Jessica Leigh

Wagner, Jessica Leigh is an sole proprietor health care provider with primary practice located at 500 7Th Ave N , St Petersburg FL 33701-2316. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Wagner, Jessica Leigh can be contacted via phone (727) 767-6843.

Contact Information

Primary practice address
500 7Th Ave N St Petersburg FL 33701-2316
Phone: (727) 767-6843
Fax: (727) 767-4715
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X
Behavioral Health & Social Service Providers / Social Worker 104100000X

Profile Details

NPI number 1417003559
LBN Legal business name Wagner, Jessica Leigh
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 25th, 2007
Last updated Jul 9th, 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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