Wagner Psychological Associates in Philadelphia - Clinical
Wagner Psychological Associates - NPI 1588628903
Wagner Psychological Associates is a Clinical in Philadelphia, Pennsylvania. Wagner Psychological Associates practices all healthcare services and medical treatments related to Clinical. The NPI Number for Wagner Psychological Associates is 1588628903. The last update date is 2020-08-22.
Wagner Psychological Associates'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 Wagner Psychological Associates is 2824 Cottman Ave, Philadelphia, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Wagner Psychological Associates |
|---|---|
| Address | 2824 Cottman Ave, Philadelphia, Pennsylvania |
| Phone Number | 2153317707 |
| Fax Number | 2153317790 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR |
|---|---|
| Authorized Official Name | Wagner S. Mark |
| Credentials | PH.D. |
| Telephone Number | 2153317707 |
NPI Number Detail
| NPI Number | 1588628903 |
|---|---|
| Provider Enumeration Date | 2006-04-13 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 2824 Cottman Ave |
|---|---|
| City | Philadelphia |
| State | Pennsylvania (PA) |
| Post Code | 191491400 |
| Phone Number | 2153317707 |
| Fax Number | 2153317790 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PS-003973-L |
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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 unique 10-digit identifier code issued to Wagner Psychological Associates by the Centers for Medicare & Medicaid Services?
The Wagner Psychological Associates has been assigned the NPI (National Provider Identifier) 1588628903 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Wagner Psychological Associates's facilities are geographically located?
The facilities of Wagner Psychological Associates are physically situated at the following location: 2824 Cottman Ave, Philadelphia, PA, 191491400.
What is Wagner Psychological Associates's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Wagner Psychological Associates is Clinical, and the corresponding taxonomy classification code for this specialized field is 103Tc0700X.
On what date did Wagner Psychological Associates receive its 1588628903 assignment from the Centers for Medicare & Medicaid Services?
The Wagner Psychological Associates was assigned its 1588628903 on 2006-04-13, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Wagner Psychological Associates most recently updated or revised?
The information pertaining to Wagner Psychological Associates, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.