John Harvey Wagoner in Annapolis - Psychologist
John Harvey Wagoner - NPI 1245393529
John Harvey Wagoner is a Psychologist in Annapolis, Maryland. John Harvey Wagoner practices all healthcare services and medical treatments related to Psychologist. The NPI Number for John Harvey Wagoner is 1245393529. The last update date is 2013-12-04.
John Harvey Wagoner's current location address is 133 Old Solomons Island Road, Annapolis, Maryland. You can contact this provider via phone number 4102669747 and fax number 4102669749. The mailing address for John Harvey Wagoner is 133 Old Solomons Island Road, Annapolis, Maryland. To know further, please read the information below!
Provider Profile Detail
Provider Name | John Harvey Wagoner |
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Address | 133 Old Solomons Island Road, Annapolis, Maryland |
Phone Number | 4102669747 |
Fax Number | 4102669749 |
Sole Proprietor | N |
Credentials | M.D., PH.D |
NPI Number Detail
NPI Number | 1245393529 |
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Provider Enumeration Date | 2006-12-18 |
Last Updated Date | 2013-12-04 |
Provider Mailing Address Detail
Address | 133 Old Solomons Island Road |
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City | Annapolis |
State | Maryland (MD) |
Post Code | 21401 |
Phone Number | 4102669747 |
Fax Number | 4102669749 |
Provider's Primary Taxonomy Detail
Speciality | Psychologist |
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Taxonomy | 103T00000X |
Licence No | 3283 |
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 |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
54297601 | MD | BCBS OF MD |
Post Comment/ Review Below
What is the John Harvey Wagoner's unique identification number?
The John Harvey Wagoner has been assigned the NPI (National Provider Identifier) Number 1245393529 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of John Harvey Wagoner?
The John Harvey Wagoner is physically situated at 133 Old Solomons Island Road, in the city of Annapolis, state of MD, with the postal code 21401.
What is the John Harvey Wagoner's specialty and taxonomy code?
The John Harvey Wagoner's specialty is Psychologist, and the corresponding taxonomy code is 103T00000X.
When did John Harvey Wagoner receive its 1245393529 assignment?
The John Harvey Wagoner was assigned its 1245393529 on 2006-12-18, which is the date when this unique identifier was issued to the organization.
As of what date was the information pertaining to John Harvey Wagoner, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to John Harvey Wagoner, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2013-12-04.
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