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
Fax: (952) 898-5858
Website:

Health care specialties

SpecialtyCodeLicense #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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