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Contact Information

JOLYNN WAGNER, PHD
26502 NE VALLEY ST SUITE 101
DUVALL, WA98019
 Phone: 425-343-3289
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for JOLYNN WAGNER · (Female)

NPI Number 1093917320
Status Active
Credentials PHD
Entity Individual
Enumeration date 05/31/2007
Last updated 03/21/2016 - About 10 years ago
Sole proprietor 1 Yes
Identifiers
  • WA License # PY00002370
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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