Wagoner, Alicia
Wagoner, Alicia is an sole proprietor health care provider with primary practice located at 2675 Medway New Carlisle Rd , Medway OH 45341-9744. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Wagoner, Alicia can be contacted via phone (937) 856-7066.Contact Information
Primary practice address
2675 Medway New Carlisle Rd
Medway OH 45341-9744
Phone: (937) 856-7066
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 8397 | Ohio |
Profile Details
| NPI number | 1265922504 |
|---|---|
| LBN Legal business name | Wagoner, Alicia |
| Credentials | PSY.D |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 11th, 2018 |
| Last updated | Oct 27th, 2023 - about last year |
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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