Wagner, Amanda E

Wagner, Amanda E is an sole proprietor health care provider with primary practice located at 2000 Alameda De Las Pulgas Ste 242 , San Mateo CA 94403-1271. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Neuropsychologist, which is considered as her primary health care specialty. Wagner, Amanda E can be contacted via phone (650) 931-6512.

Contact Information

Primary practice address
2000 Alameda De Las Pulgas Ste 242 San Mateo CA 94403-1271
Phone: (650) 931-6512
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 31385 California

Profile Details

NPI number 1659748911
LBN Legal business name Wagner, Amanda E
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 21st, 2015
Last updated Sep 8th, 2020 - about 6 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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