Dr. Leslie Ann Wagner
Psychologist Clinical Psychologist
533 Saint Clair St
Grosse Pointe
, Michigan 48230-1503
Dr. Leslie Ann Wagner
Psychologist Clinical Psychologist
533 Saint Clair St
Grosse Pointe
, Michigan 48230-1503
(313) 936-1084
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About
Features
Specialties
- Psychologist
- Clinical Psychologist
Languages spoken
- English
Location
First Address
- Dr. Leslie Ann Wagner
- 533 Saint Clair St
- Grosse Pointe, MI
- Zip : 48230-1503
- Fax : (313) 936-1084
- Phone : (313) 978-7792
Second Address
- Dr. Leslie Ann Wagner
- 533 Saint Clair St
- Grosse Pointe, MI
- Zip : 48230-1503
- Fax : (313) 936-1084
- Phone : (313) 978-7792
Reviews
FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 102L00000X | Psychologist | 6301012459 | MI |
| Y | 103T00000X | Psychologist | 6301012459 | MI |
| N | 103G00000X | Clinical Psychologist | 6301012459 | MI |
| N | 103TC0700X | Clinical Psychologist | 6301012459 | MI |
National Provider Identifier
| NPI | 1013033398 |
|---|---|
| Provider Name | Dr. Leslie Ann Wagner |
| First Address | Grosse Pointe, MI 48230-1503 |
| Second Address | Grosse Pointe, MI 48230-1503 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/03/2007 |
| Last Update Date | 23/05/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1013033398 | NPPES (01) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.