Janis Ann Wagner is a Psychologist in Boston, Massachusetts. Janis Ann Wagner practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Janis Ann Wagner is 1306990627. The last update date is 2014-06-17.
Janis Ann Wagner's current location address is 17 Grove St, Boston, Massachusetts. You can contact this provider via phone number 6174167815. The mailing address for Janis Ann Wagner is 17 Grove St, Boston, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Janis Ann Wagner |
|---|---|
| Address | 17 Grove St, Boston, Massachusetts |
| Phone Number | 6174167815 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PH.D |
NPI Number Detail
| NPI Number | 1306990627 |
|---|---|
| Provider Enumeration Date | 2007-01-23 |
| Last Updated Date | 2014-06-17 |
Provider Mailing Address Detail
| Address | 17 Grove St |
|---|---|
| City | Boston |
| State | Massachusetts (MA) |
| Post Code | 21143408 |
| Phone Number | 6174167815 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | PY2351PR |
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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 |
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What is the unique 10-digit identifier code assigned to Janis Ann Wagner by the Centers for Medicare & Medicaid Services?
The Janis Ann Wagner has been issued the NPI (National Provider Identifier) 1306990627 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Janis Ann Wagner's facilities are situated?
The facilities of Janis Ann Wagner are physically located at the following address: 17 Grove St, Boston, MA, 21143408.
What is Janis Ann Wagner's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Janis Ann Wagner is Psychologist, and the taxonomy code that categorizes this field of expertise is 103T00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1306990627 to Janis Ann Wagner?
The Centers for Medicare & Medicaid Services assigned the 1306990627 to Janis Ann Wagner on 2007-01-23.
As of what date were the details pertaining to Janis Ann Wagner last refreshed?
The information related to the Janis Ann Wagner, including its address, specialty, and other relevant details, was last updated on 2014-06-17.
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