Erica Wagener is a Clinical in Santa Rosa, California. Erica Wagener practices all healthcare services and medical treatments related to Clinical. The NPI Number for Erica Wagener is 1326185463. The last update date is 2007-09-12.
Erica Wagener's current location address is 3650 Standish Ave, Santa Rosa, California. You can contact this provider via phone number 7075856108. The mailing address for Erica Wagener is 3650 Standish Ave, Santa Rosa, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Erica Wagener |
|---|---|
| Address | 3650 Standish Ave, Santa Rosa, California |
| Phone Number | 7075856108 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PSY.D. |
NPI Number Detail
| NPI Number | 1326185463 |
|---|---|
| Provider Enumeration Date | 2007-01-30 |
| Last Updated Date | 2007-09-12 |
Provider Mailing Address Detail
| Address | 3650 Standish Ave |
|---|---|
| City | Santa Rosa |
| State | California (CA) |
| Post Code | 954078113 |
| Phone Number | 7075856108 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PSB31542 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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What is the Erica Wagener's unique identification number?
The Erica Wagener has been assigned the NPI (National Provider Identifier) Number 1326185463 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 Erica Wagener?
The Erica Wagener is physically situated at 3650 Standish Ave, in the city of Santa Rosa, state of CA, with the postal code 954078113.
What is Erica Wagener's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Erica Wagener is Clinical, and the corresponding taxonomy classification code for this specialized field is 103Tc0700X.
On what date did the Erica Wagener receive the assignment of its 1326185463 from the Centers for Medicare & Medicaid Services?
The Erica Wagener was issued its 1326185463 by the Centers for Medicare & Medicaid Services on 2007-01-30.
When was the Erica Wagener's information last updated?
The Erica Wagener's information was last updated on 2007-09-12.