Wagner, Samantha Ann

Wagner, Samantha Ann is an sole proprietor health care provider with primary practice located at 20747 Sterlington Dr , Land O Lakes FL 34638-4317. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Wagner, Samantha Ann can be contacted via phone (813) 815-2947.

Contact Information

Primary practice address
20747 Sterlington Dr Land O Lakes FL 34638-4317
Fax: (813) 948-0094
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PY11685 Florida

Profile Details

NPI number 1457078735
LBN Legal business name Wagner, Samantha Ann
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 26th, 2022
Last updated Oct 26th, 2022 - about 3 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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