Patricia Ellen Wagner in Syracuse - Clinical Child & Adolescent
Patricia Ellen Wagner - NPI 1467592261
Patricia Ellen Wagner is a Clinical Child & Adolescent in Syracuse, New York. Patricia Ellen Wagner practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for Patricia Ellen Wagner is 1467592261. The last update date is 2007-07-08.
Patricia Ellen Wagner's current location address is 530 Oak St, Syracuse, New York. You can contact this provider via phone number 3154785890. The mailing address for Patricia Ellen Wagner is 530 Oak St, Syracuse, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Patricia Ellen Wagner |
|---|---|
| Address | 530 Oak St, Syracuse, New York |
| Phone Number | 3154785890 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1467592261 |
|---|---|
| Provider Enumeration Date | 2007-02-08 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 530 Oak St |
|---|---|
| City | Syracuse |
| State | New York (NY) |
| Post Code | 132031652 |
| Phone Number | 3154785890 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Child & Adolescent |
|---|---|
| Taxonomy | 103Tc2200X |
| Licence No | 012016-1 |
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Definition: A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology |
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Post Comment/ Review Below
What is the unique identifier code issued to Patricia Ellen Wagner by the Centers for Medicare & Medicaid Services?
The Patricia Ellen Wagner has been assigned the NPI (National Provider Identifier) 1467592261. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Patricia Ellen Wagner is geographically located?
The Patricia Ellen Wagner is physically situated at the following location: 530 Oak St, Syracuse, NY, 132031652.
What is Patricia Ellen Wagner's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Patricia Ellen Wagner is Clinical Child & Adolescent, and the taxonomy code that classifies this field of practice is 103Tc2200X.
On what date did the Centers for Medicare & Medicaid Services assign the 1467592261 to Patricia Ellen Wagner?
The Centers for Medicare & Medicaid Services assigned the 1467592261 to Patricia Ellen Wagner on 2007-02-08.
When was the information regarding Patricia Ellen Wagner most recently updated?
The details pertaining to the Patricia Ellen Wagner, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.