Michael James Wagner
Psychologist Mental Health Counselor
10207 E Shady Rock Ln
Tucson
, Arizona 85749-8162
Michael James Wagner
Psychologist Mental Health Counselor
10207 E Shady Rock Ln
Tucson
, Arizona 85749-8162
(520) 631-2067
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About
Features
Specialties
- Mental Health Counselor
- Psychologist
Languages spoken
- English
Location
First Address
- Michael James Wagner
- 10207 E Shady Rock Ln
- Tucson, AZ
- Zip : 85749-8162
- Phone : (520) 631-2067
Second Address
- Michael James Wagner
- 10207 E Shady Rock Ln
- Tucson, AZ
- Zip : 85749-8162
- Phone : (520) 631-2067
Reviews
FAQs
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What type of doctor is Michael James Wagner
In what state does Michael James Wagner practice in?
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Is Michael James Wagner accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 101YM0800X | Mental Health Counselor | 0119031 | NM |
| Y | 102L00000X | Psychologist | 4297 | AZ |
| Y | 103T00000X | Psychologist | 4297 | AZ |
National Provider Identifier
| NPI | 1013154293 |
|---|---|
| Provider Name | Michael James Wagner |
| First Address | Tucson, AZ 85749-8162 |
| Second Address | Tucson, AZ 85749-8162 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/01/2009 |
| Last Update Date | 26/06/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 78558 | (05) | NM |
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.