Wagner, Elizabeth

Wagner, Elizabeth is an individual health care provider with primary practice located at 4500 Park Glen Rd Suite 450, Saint Louis Park MN 55416-4871. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Wagner, Elizabeth can be contacted via phone (952) 444-9744.

Contact Information

Primary practice address
4500 Park Glen Rd Suite 450 Saint Louis Park MN 55416-4871
Fax: (952) 444-9745
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X LP5833 Minnesota

Profile Details

NPI number 1922128529
LBN Legal business name Wagner, Elizabeth
Credentials PSYD
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2007
Last updated Jul 1st, 2016 - about 10 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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