Wagener, Amy
Wagener, Amy is an individual health care provider with primary practice located at 1755 Southcross Dr W , Burnsville MN 55306-7012. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Wagener, Amy can be contacted via phone (952) 898-5020.Contact Information
Primary practice address
1755 Southcross Dr W
Burnsville MN 55306-7012
Phone: (952) 898-5020
Fax: (952) 898-5858
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | LP4350 | Minnesota |
Profile Details
| NPI number | 1497034763 |
|---|---|
| LBN Legal business name | Wagener, Amy |
| Credentials | PSY.D/LP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 4th, 2011 |
| Last updated | Aug 4th, 2011 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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