Wagner-Wetzel, Nancy

Wagner-Wetzel, Nancy is an sole proprietor health care provider with primary practice located at 148 Jacques Ave , Staten Island NY 10306-3028. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Wagner-Wetzel, Nancy can be contacted via phone (917) 797-9441.

Contact Information

Primary practice address
148 Jacques Ave Staten Island NY 10306-3028
Phone: (917) 797-9441
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 7876 New York

Profile Details

NPI number 1467495952
LBN Legal business name Wagner-Wetzel, Nancy
Credentials PSY.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 13th, 2006
Last updated Apr 19th, 2012 - about 13 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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Identifiers

StateTypeNumberIssuer
All States NPI 1467495952 NPPES
New York MEDICAID 00979424
New York Other 680408

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