Sean M. Wagner is a Clinical in Kingman, Kansas. Sean M. Wagner practices all healthcare services and medical treatments related to Clinical. The NPI Number for Sean M. Wagner is 1497852370. The last update date is 2007-07-08.
Sean M. Wagner's current location address is 760 W D Ave, Kingman, Kansas. You can contact this provider via phone number 6205323895. The mailing address for Sean M. Wagner is 760 W D Ave, Kingman, Kansas. To know further, please read the information below!
Provider Profile Detail
Provider Name | Sean M. Wagner |
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Address | 760 W D Ave, Kingman, Kansas |
Phone Number | 6205323895 |
Fax Number | |
Sole Proprietor | Y |
Credentials | LCP |
NPI Number Detail
NPI Number | 1497852370 |
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Provider Enumeration Date | 2006-09-20 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 760 W D Ave |
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City | Kingman |
State | Kansas (KS) |
Post Code | 670681266 |
Phone Number | 6205323895 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 103Tc0700X |
Licence No | 196 |
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 |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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393288 | KS | BCBS |
Post Comment/ Review Below
What is the Sean M. Wagner's unique identification number?
The Sean M. Wagner has been assigned the NPI (National Provider Identifier) Number 1497852370 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 street address where Sean M. Wagner is physically located?
The Sean M. Wagner is physically situated at the following address: 760 W D Ave, Kingman, KS, 670681266.
What is Sean M. Wagner's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Sean M. Wagner is Clinical, and the taxonomy code that categorizes this field of expertise is 103Tc0700X.
When did the Sean M. Wagner receive its 1497852370?
The Sean M. Wagner was issued its 1497852370 on 2006-09-20, which is the date when the organization was assigned this unique identifier.
On what date did the Sean M. Wagner receive its 1497852370 assignment from the Centers for Medicare & Medicaid Services?
The Sean M. Wagner was assigned its 1497852370 by the Centers for Medicare & Medicaid Services on 2006-09-20.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY