Mark S. Wagner is a Clinical in Philadelphia, Pennsylvania. Mark S. Wagner practices all healthcare services and medical treatments related to Clinical. The NPI Number for Mark S. Wagner is 1184647356. The last update date is 2007-07-08.
Mark S. Wagner's current location address is 2824 Cottman Ave, Philadelphia, Pennsylvania. You can contact this provider via phone number 2153317707 and fax number 2153317790. The mailing address for Mark S. Wagner is 2824 Cottman Ave, Philadelphia, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
Provider Name | Mark S. Wagner |
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Address | 2824 Cottman Ave, Philadelphia, Pennsylvania |
Phone Number | 2153317707 |
Fax Number | 2153317790 |
Sole Proprietor | Y |
Credentials | PH.D. |
NPI Number Detail
NPI Number | 1184647356 |
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Provider Enumeration Date | 2006-07-26 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 2824 Cottman Ave |
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City | Philadelphia |
State | Pennsylvania (PA) |
Post Code | 191491400 |
Phone Number | 2153317707 |
Fax Number | 2153317790 |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 103Tc0700X |
Licence No | PS 003973L |
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 |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Mark S. Wagner by the Centers for Medicare & Medicaid Services?
The Mark S. Wagner has been issued the NPI (National Provider Identifier) 1184647356 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Mark S. Wagner?
The Mark S. Wagner is situated at 2824 Cottman Ave, in the city of Philadelphia, state of PA, with the zip code 191491400.
What is Mark S. Wagner's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Mark S. Wagner is Clinical, and the corresponding taxonomy classification code for this specialized field is 103Tc0700X.
On what date did Mark S. Wagner receive its 1184647356 assignment from the Centers for Medicare & Medicaid Services?
The Mark S. Wagner was assigned its 1184647356 on 2006-07-26, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Mark S. Wagner, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Mark S. Wagner, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.