Leslie Ann Wagner in Grosse Pointe - Clinical
Leslie Ann Wagner - NPI 1013033398
Leslie Ann Wagner is a Clinical in Grosse Pointe, Michigan. Leslie Ann Wagner practices all healthcare services and medical treatments related to Clinical. The NPI Number for Leslie Ann Wagner is 1013033398. The last update date is 2019-05-23.
Leslie Ann Wagner's current location address is 533 Saint Clair St, Grosse Pointe, Michigan. You can contact this provider via phone number 3139787792 and fax number 3139361084. The mailing address for Leslie Ann Wagner is 533 Saint Clair St, Grosse Pointe, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Leslie Ann Wagner |
|---|---|
| Address | 533 Saint Clair St, Grosse Pointe, Michigan |
| Phone Number | 3139787792 |
| Fax Number | 3139361084 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1013033398 |
|---|---|
| Provider Enumeration Date | 2007-03-21 |
| Last Updated Date | 2019-05-23 |
Provider Mailing Address Detail
| Address | 533 Saint Clair St |
|---|---|
| City | Grosse Pointe |
| State | Michigan (MI) |
| Post Code | 482301503 |
| Phone Number | 3139787792 |
| Fax Number | 3139361084 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 6301012459 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1013033398 | NPPES |
Post Comment/ Review Below
What is the unique provider identifier assigned to Leslie Ann Wagner?
The Leslie Ann Wagner has been issued the NPI (National Provider Identifier) 1013033398 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where Leslie Ann Wagner is physically located?
The Leslie Ann Wagner is physically situated at the following address: 533 Saint Clair St, Grosse Pointe, MI, 482301503.
What is the area of specialization for Leslie Ann Wagner, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Leslie Ann Wagner is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 103Tc0700X.
When did the Leslie Ann Wagner receive its 1013033398?
The Leslie Ann Wagner was issued its 1013033398 on 2007-03-21, which is the date when the organization was assigned this unique identifier.
When was the information regarding Leslie Ann Wagner, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Leslie Ann Wagner, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2019-05-23.
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