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Contact Information

PATRICK A WAGNER PHD PC
1253 NORTH DEER RUN E DRIVE
SHELBYVILLE, IN46176
 Phone: 317-398-8146
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for PATRICK A WAGNER PHD PC · (Female)

NPI # 1548595440
Status Active
Credentials
Entity Individual
Enumeration date 10/09/2009
Last updated 10/09/2009 - About 17 years ago
Sole proprietor 1 Not specified
Identifiers
  • IN License # 20010493A
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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