Brenda J Wagner is a Psychologist in Atlanta, Georgia. Brenda J Wagner practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Brenda J Wagner is 1083663272. The last update date is 2007-07-08.
Brenda J Wagner's current location address is 5455 Meridian Mark Rd Ne, Atlanta, Georgia. You can contact this provider via phone number 4047853240 and fax number 4047853600. The mailing address for Brenda J Wagner is 5455 Meridian Mark Rd Ne, Atlanta, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brenda J Wagner |
|---|---|
| Address | 5455 Meridian Mark Rd Ne, Atlanta, Georgia |
| Phone Number | 4047853240 |
| Fax Number | 4047853600 |
| Sole Proprietor | X |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1083663272 |
|---|---|
| Provider Enumeration Date | 2006-05-08 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 5455 Meridian Mark Rd Ne |
|---|---|
| City | Atlanta |
| State | Georgia (GA) |
| Post Code | 30342 |
| Phone Number | 4047853240 |
| Fax Number | 4047853600 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 1706 |
|
Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
|
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Brenda J Wagner by the Centers for Medicare & Medicaid Services?
The Brenda J Wagner has been assigned the NPI (National Provider Identifier) 1083663272 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Brenda J Wagner?
The Brenda J Wagner is situated at 5455 Meridian Mark Rd Ne, in the city of Atlanta, state of GA, with the zip code 30342.
What is Brenda J Wagner's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Brenda J Wagner's specialized field of practice is Psychologist, and the corresponding taxonomy code that categorizes this area of specialization is 103T00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1083663272 to Brenda J Wagner?
The Brenda J Wagner received its 1083663272 assignment from the Centers for Medicare & Medicaid Services on 2006-05-08.
As of what date was the information regarding Brenda J Wagner, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Brenda J Wagner, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.