Cynthia A Wagner in Marshall - Psychologist
Cynthia A Wagner - NPI 1356441174
Cynthia A Wagner is a Psychologist in Marshall, Michigan. Cynthia A Wagner practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Cynthia A Wagner is 1356441174. The last update date is 2013-07-08.
Cynthia A Wagner's current location address is 15209 W Michigan Ave, Marshall, Michigan. You can contact this provider via phone number 2697819119 and fax number 2697814347. The mailing address for Cynthia A Wagner is 15209 W Michigan Ave, Marshall, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Cynthia A Wagner |
|---|---|
| Address | 15209 W Michigan Ave, Marshall, Michigan |
| Phone Number | 2697819119 |
| Fax Number | 2697814347 |
| Sole Proprietor | N |
| Credentials | LLP |
NPI Number Detail
| NPI Number | 1356441174 |
|---|---|
| Provider Enumeration Date | 2006-09-22 |
| Last Updated Date | 2013-07-08 |
Provider Mailing Address Detail
| Address | 15209 W Michigan Ave |
|---|---|
| City | Marshall |
| State | Michigan (MI) |
| Post Code | 490689570 |
| Phone Number | 2697819119 |
| Fax Number | 2697814347 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 6301007919 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 6301007919 | MI | LICENSE | |
| 7509107630 | MI | BCBS OF MI |
Post Comment/ Review Below
What is the Cynthia A Wagner's 1356441174?
The Cynthia A Wagner's NPI (National Provider Identifier) Number is 1356441174. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Cynthia A Wagner is geographically located?
The Cynthia A Wagner is physically situated at the following location: 15209 W Michigan Ave, Marshall, MI, 490689570.
What is Cynthia A Wagner's area of expertise and its corresponding taxonomy classification?
The Cynthia A Wagner's field of specialization is Psychologist, and it falls under the taxonomy code 103T00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Cynthia A Wagner receive the assignment of its 1356441174 from the Centers for Medicare & Medicaid Services?
The Cynthia A Wagner was issued its 1356441174 by the Centers for Medicare & Medicaid Services on 2006-09-22.
When was the information regarding Cynthia A Wagner, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Cynthia A Wagner, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2013-07-08.