Brianne Wagner is a School in Newark, Delaware. Brianne Wagner practices all healthcare services and medical treatments related to School. The NPI Number for Brianne Wagner is 1407990310. The last update date is 2007-07-08.
Brianne Wagner's current location address is 200 Tyre Ave, Newark, Delaware. You can contact this provider via phone number 3024542047. The mailing address for Brianne Wagner is 200 Tyre Ave, Newark, Delaware. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brianne Wagner |
|---|---|
| Address | 200 Tyre Ave, Newark, Delaware |
| Phone Number | 3024542047 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1407990310 |
|---|---|
| Provider Enumeration Date | 2007-02-16 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 200 Tyre Ave |
|---|---|
| City | Newark |
| State | Delaware (DE) |
| Post Code | 197117136 |
| Phone Number | 3024542047 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | School |
|---|---|
| Taxonomy | 103Ts0200X |
| Licence No | 9498 |
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Definition: A psychologist whose specialty is concerned with the science and practice of psychology with children, youth, families; learners of all ages; and the schooling process. The basic education and training of school psychologists prepares them to provide |
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What is the unique identification code assigned to Brianne Wagner by the Centers for Medicare & Medicaid Services?
The Brianne Wagner has been issued the NPI (National Provider Identifier) 1407990310. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Brianne Wagner is physically located?
The Brianne Wagner is physically situated at the following address: 200 Tyre Ave, Newark, DE, 197117136.
What is Brianne 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 Brianne Wagner is School, and the taxonomy classification code that categorizes this area of expertise is 103Ts0200X.
On what date did the Centers for Medicare & Medicaid Services issue the 1407990310 to Brianne Wagner?
The Brianne Wagner received its 1407990310 assignment from the Centers for Medicare & Medicaid Services on 2007-02-16.
As of what date were the Brianne Wagner's details last updated?
The information pertaining to the Brianne Wagner, including its address, specialty, and other details, was most recently updated on 2007-07-08.
NPI Number: 1215930425
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