Dr Amanda Wagner, PSYD, LPC is a
Psychologist - Counseling based in Paramus, New Jersey. Dr Amanda Wagner is licensed to practice in New Jersey (license number 35SI00692600) and her current practice location is
49 E Midland Ave, Paramus, New Jersey. She can be reached at her office (for appointments etc.) via phone at
(201) 921-0256.
NPI number for Dr Amanda Wagner is 1144683574 and her current mailing address is Po Box 184, Waldwick, New Jersey. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1144683574.
Healthcare Provider's Profile
| Full Name | Dr Amanda Wagner |
|---|
| Gender | Female |
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| Speciality | Psychologist - Counseling |
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| Location | 49 E Midland Ave, Paramus, New Jersey |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1144683574
- Provider Enumeration Date: 04/02/2016
- Last Update Date: 01/01/2023
Medical Identifiers
Medical identifiers for Dr Amanda Wagner such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1144683574 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YP2500X | Counselor - Professional | 37PC00547200 (New Jersey) | Secondary |
| 103TC1900X | Psychologist - Counseling | 35SI00692600 (New Jersey) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Amanda Wagner is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Amanda Wagner, PSYD, LPC
Po Box 184,
Waldwick, NJ 07463-0184
Ph: (201) 921-0256 | Dr Amanda Wagner, PSYD, LPC
49 E Midland Ave,
Paramus, NJ 07652-2920
Ph: (201) 921-0256 |
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