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Contact Information

KAREN S WAGNER, PH D
600 SW JEFFERSON ST #206
LEE'S SUMMIT, MO64063
 Phone: 816-554-7705
 Fax: 816-554-7706
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for KAREN S WAGNER · (Female)

NPI Number 1225164742
Status Active
Credentials PH D
Entity Individual
Enumeration date 02/26/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • MO License # PY01740
  • Other 21468020 BC BS
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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