Cheryl R Wagner, LMFT | |
4420 Limestone Rd Ste 307, Wilmington, DE 19808-1956 | |
(302) 224-1400 | |
(302) 224-1402 |
Full Name | Cheryl R Wagner |
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Gender | Female |
Speciality | Marriage & Family Therapist |
Location | 4420 Limestone Rd Ste 307, Wilmington, Delaware |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114695152 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | FT-0010076 (Delaware) | Primary |
Entity Name | Mid-atlantic Behavioral Health, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871719872 PECOS PAC ID: 3375620016 Enrollment ID: O20080407000009 |
Mailing Address | Practice Location Address |
---|---|
Cheryl R Wagner, LMFT 910 S Chapel St Ste 102, Newark, DE 19713-3468 Ph: (302) 224-1400 | Cheryl R Wagner, LMFT 4420 Limestone Rd Ste 307, Wilmington, DE 19808-1956 Ph: (302) 224-1400 |
Annalise Maull, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1009 Piper Rd, Wilmington, DE 19803 Phone: 302-893-7583 | |
Kimberly Samson, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1812 Newport Gap Pike, Wilmington, DE 19808 Phone: 302-999-1106 Fax: 302-999-1753 | |
Daniel D Cherneski, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 405 Foulk Rd, Wilmington, DE 19803 Phone: 302-722-5470 | |
Paul Kerans Nowak, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 5424 Crestline Rd, Wilmington, DE 19808 Phone: 609-202-0100 | |
Mr. Allie F. Miller, L.M.F.T. Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 19b Trolley Sq, Wilmington, DE 19806 Phone: 302-287-3443 Fax: 866-238-3938 | |
James Santana, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 811 Brandywine Blvd, Wilmington, DE 19809 Phone: 302-281-4719 |