Wagner, Thomas
Wagner, Thomas is an sole proprietor health care provider with primary practice located at 88 University Place Suite 4E, New York NY 10003. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychoanalyst, which is considered as his primary health care specialty. Wagner, Thomas can be contacted via phone (212) 691-7158.Contact Information
Primary practice address
88 University Place Suite 4E
New York NY 10003
Phone: (212) 691-7158
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychoanalyst | 102L00000X | 345 | New York |
Profile Details
| NPI number | 1467650143 |
|---|---|
| LBN Legal business name | Wagner, Thomas |
| Credentials | LPSYA |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 5th, 2007 |
| Last updated | May 19th, 2015 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1467650143 | NPPES |
| New York | Other | 345 | NYS PSYCHOANALYSIS LIC. |
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