Larry Richard Wagner in Columbia - Counseling

Larry Richard Wagner - NPI 1659417905

Larry Richard Wagner is a Counseling in Columbia, South Carolina. Larry Richard Wagner practices all healthcare services and medical treatments related to Counseling. The NPI Number for Larry Richard Wagner is 1659417905. The last update date is 2007-07-08.

Larry Richard Wagner's current location address is 1816 Bull St, Columbia, South Carolina. You can contact this provider via phone number 8037358343. The mailing address for Larry Richard Wagner is 1816 Bull St, Columbia, South Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Larry Richard Wagner
Address 1816 Bull St, Columbia, South Carolina
Phone Number 8037358343
Fax Number
Sole Proprietor Y
Credentials PH.D.

NPI Number Detail

NPI Number 1659417905
Provider Enumeration Date 2007-01-30
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1816 Bull St
City Columbia
State South Carolina (SC)
Post Code 2920125060
Phone Number 8037358343
Fax Number

Provider's Primary Taxonomy Detail

Speciality Counseling
Taxonomy 103Tc1900X
Licence No 657
Definition:
A psychologist who specializes in general practice and health service. It focuses on how people function both personally and in their relationships at all ages. Counseling psychology addresses the emotional, social, work, school and physical health c

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FAQs about Larry Richard Wagner

What is the unique 10-digit identification code assigned to Larry Richard Wagner by the Centers for Medicare & Medicaid Services?

The Larry Richard Wagner has been issued the NPI (National Provider Identifier) 1659417905, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Larry Richard Wagner is geographically located?

The Larry Richard Wagner is physically situated at the following location: 1816 Bull St, Columbia, SC, 2920125060.

What is the Larry Richard Wagner's area of specialization and corresponding taxonomy classification?

The Larry Richard Wagner's specialty field is Counseling, and it falls under the taxonomy code 103Tc1900X, which categorizes healthcare providers based on their specialties.

On what date was the 1659417905 assigned to Larry Richard Wagner?

The Larry Richard Wagner was issued its 1659417905 on 2007-01-30, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information pertaining to Larry Richard Wagner most recently updated or revised?

The details related to Larry Richard Wagner, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.

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