Amanda Griffin Wagner in Colbert - Intellectual And Developmental Disabilities
Amanda Griffin Wagner - NPI 1154399152
Amanda Griffin Wagner is a Intellectual And Developmental Disabilities in Colbert, Georgia. Amanda Griffin Wagner practices all healthcare services and medical treatments related to Intellectual And Developmental Disabilities. The NPI Number for Amanda Griffin Wagner is 1154399152. The last update date is 2018-09-21.
Amanda Griffin Wagner's current location address is Po Box 459, Colbert, Georgia. You can contact this provider via phone number 7067883234 and fax number 7067882936. The mailing address for Amanda Griffin Wagner is Po Box 459, Colbert, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Amanda Griffin Wagner |
|---|---|
| Address | Po Box 459, Colbert, Georgia |
| Phone Number | 7067883234 |
| Fax Number | 7067882936 |
| Sole Proprietor | N |
| Credentials | MS, OTR/L |
NPI Number Detail
| NPI Number | 1154399152 |
|---|---|
| Provider Enumeration Date | 2006-03-08 |
| Last Updated Date | 2018-09-21 |
Provider Mailing Address Detail
| Address | Po Box 459 |
|---|---|
| City | Colbert |
| State | Georgia (GA) |
| Post Code | 306280459 |
| Phone Number | 7067883234 |
| Fax Number | 7067882936 |
Provider's Primary Taxonomy Detail
| Speciality | Intellectual And Developmental Disabilities |
|---|---|
| Taxonomy | 103Tm1800X |
| Licence No | OT003237 |
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Definition: A psychologist who works with people who have cognitive impairments and developmental disabilities. |
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What is the unique 10-digit identifier code issued to Amanda Griffin Wagner by the Centers for Medicare & Medicaid Services?
The Amanda Griffin Wagner has been assigned the NPI (National Provider Identifier) 1154399152 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Amanda Griffin Wagner is physically located?
The Amanda Griffin Wagner is physically situated at the following address: Po Box 459, Colbert, GA, 306280459.
What is Amanda Griffin Wagner's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Amanda Griffin Wagner is Intellectual And Developmental Disabilities, and the taxonomy classification code that categorizes this area of expertise is 103Tm1800X.
On what date did the Amanda Griffin Wagner receive its 1154399152 assignment from the Centers for Medicare & Medicaid Services?
The Amanda Griffin Wagner was assigned its 1154399152 by the Centers for Medicare & Medicaid Services on 2006-03-08.
When was the information related to Amanda Griffin Wagner most recently updated or refreshed?
The details pertaining to the Amanda Griffin Wagner, including its address, specialty, and other relevant information, were last updated or refreshed on 2018-09-21.