David Michael Wagner in St Petersburg - Professional
David Michael Wagner - NPI 1538236757
David Michael Wagner is a Professional in St Petersburg, Florida. David Michael Wagner practices all healthcare services and medical treatments related to Professional. The NPI Number for David Michael Wagner is 1538236757. The last update date is 2007-07-08.
David Michael Wagner's current location address is 8335 40th Ave N, St Petersburg, Florida. You can contact this provider via phone number 7273440315 and fax number 7273440315. The mailing address for David Michael Wagner is 8335 40th Ave N, St Petersburg, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | David Michael Wagner |
|---|---|
| Address | 8335 40th Ave N, St Petersburg, Florida |
| Phone Number | 7273440315 |
| Fax Number | 7273440315 |
| Sole Proprietor | Y |
| Credentials | LMHC |
NPI Number Detail
| NPI Number | 1538236757 |
|---|---|
| Provider Enumeration Date | 2006-11-30 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 8335 40th Ave N |
|---|---|
| City | St Petersburg |
| State | Florida (FL) |
| Post Code | 337093934 |
| Phone Number | 7273440315 |
| Fax Number | 7273440315 |
Provider's Primary Taxonomy Detail
| Speciality | Professional |
|---|---|
| Taxonomy | 101Yp2500X |
| Licence No | MH1455 |
|
Definition: A general counselor who helps people with personal, social, educational, and career issues. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| MH1455 | FL | LMHC LICENSE NUMBER |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to David Michael Wagner by the Centers for Medicare & Medicaid Services?
The David Michael Wagner has been issued the NPI (National Provider Identifier) 1538236757, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of David Michael Wagner?
The David Michael Wagner is situated at 8335 40Th Ave N, in the city of St Petersburg, state of FL, with the zip code 337093934.
What is the David Michael Wagner's specialty and taxonomy code?
The David Michael Wagner's specialty is Professional, and the corresponding taxonomy code is 101Yp2500X.
On what date did the Centers for Medicare & Medicaid Services issue the 1538236757 to David Michael Wagner?
The David Michael Wagner received its 1538236757 assignment from the Centers for Medicare & Medicaid Services on 2006-11-30.
When was the information related to David Michael Wagner most recently updated or refreshed?
The details pertaining to the David Michael Wagner, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.
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