Wagner, Matthew T.

Wagner, Matthew T. is an individual health care provider with primary practice located at 21633 Avenue 24 , Chowchilla CA 93610-9650. He recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Family, Behavioral Health & Social Service Providers / Forensic, Behavioral Health & Social Service Providers / Health Service, Behavioral Health & Social Service Providers / Group Psychotherapy. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Wagner, Matthew T. can be contacted via phone (559) 665-6100.

Contact Information

Primary practice address
21633 Avenue 24 Chowchilla CA 93610-9650
Phone: (559) 665-6100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY19277 California
Behavioral Health & Social Service Providers / Family 103TF0000X PSY 19277 California
Behavioral Health & Social Service Providers / Forensic 103TF0200X PSY 19277 California
Behavioral Health & Social Service Providers / Health Service 103TH0100X PSY 19277 California
Behavioral Health & Social Service Providers / Group Psychotherapy 103TP2701X PSY 19277 California

Profile Details

NPI number 1811203417
LBN Legal business name Wagner, Matthew T.
Credentials CLIN. PSYCHOLOGIST
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 20th, 2010
Last updated Aug 20th, 2010 - about 14 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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