Wagner, Patricia Ellen

Wagner, Patricia Ellen is an sole proprietor health care provider with primary practice located at 530 Oak St , Syracuse NY 13203-1652. She recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Adult Development & Aging, Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Wagner, Patricia Ellen can be contacted via phone (315) 478-5890.

Contact Information

Primary practice address
530 Oak St Syracuse NY 13203-1652
Phone: (315) 478-5890
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 012016-1 New York
Behavioral Health & Social Service Providers / Adult Development & Aging 103TA0700X 012016-1 New York
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X 012016-1 New York
Behavioral Health & Social Service Providers / Clinical 103TC0700X 012016-1 New York
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 012016-1 New York

Profile Details

NPI number 1467592261
LBN Legal business name Wagner, Patricia Ellen
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 8th, 2007
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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