Wagner, Janis Ann
Wagner, Janis Ann is an sole proprietor health care provider with primary practice located at 521 Mount Auburn St Suite 107-109, Watertown MA 02472-4191. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Wagner, Janis Ann can be contacted via phone (617) 416-7815.Contact Information
Primary practice address
521 Mount Auburn St Suite 107-109
Watertown MA 02472-4191
Phone: (617) 416-7815
Fax: (781) 719-5039
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | PY2351PR | Massachusetts |
Profile Details
| NPI number | 1306990627 |
|---|---|
| LBN Legal business name | Wagner, Janis Ann |
| Credentials | PH.D |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 23rd, 2007 |
| Last updated | Jun 17th, 2014 - about 12 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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