Wagner, Ronald A

Wagner, Ronald A is an sole proprietor health care provider with primary practice located at 110 W Squantum St Suite 17, Quincy MA 02171-2122. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Wagner, Ronald A can be contacted via phone (617) 921-9152.

Contact Information

Primary practice address
110 W Squantum St Suite 17 Quincy MA 02171-2122
Phone: (617) 921-9152
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 7455 Massachusetts

Profile Details

NPI number 1992862098
LBN Legal business name Wagner, Ronald A
Credentials PSY.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 2nd, 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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