Wagner, Kristi Lynn

Wagner, Kristi Lynn is an individual health care provider with primary practice located at 10535 Hospital Way , Mather CA 95655-4200. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Wagner, Kristi Lynn can be contacted via phone (916) 366-5399.

Contact Information

Primary practice address
10535 Hospital Way Mather CA 95655-4200
Phone: (916) 366-5399
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PSY21167 California

Profile Details

NPI number 1912176660
LBN Legal business name Wagner, Kristi Lynn
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2008
Last updated Sep 22nd, 2026 - about last week

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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Identifiers

StateTypeNumberIssuer
All States NPI 1912176660 NPPES
California MEDICAID PSY21167

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