| Megan Wagoner, Psyd | |
|
4860 Rainier Ave S Ste C Seattle WA 98118-6305 | |
| (360) 513-1888 | |
| (888) 797-7376 |
| Full Name | Megan Wagoner, Psyd |
|---|---|
| Speciality | Psychologist |
| Location | 4860 Rainier Ave S Ste C, Seattle, Washington |
| Authorized Official Name and Position | Megan C Wagoner (SOLE OWNER) |
| Authorized Official Contact | 3605131888 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Megan Wagoner, Psyd 4860 Rainier Ave S Ste C Seattle WA 98118-6305 Ph: (360) 513-1888 | Megan Wagoner, Psyd 4860 Rainier Ave S Ste C Seattle WA 98118-6305 Ph: (360) 513-1888 |
| NPI Number | 1801436480 |
|---|---|
| Provider Enumeration Date | 01/10/2020 |
| Last Update Date | 10/26/2022 |
| Certification Date | 10/26/2022 |
| Medicare PECOS PAC ID | 6204262199 |
|---|---|
| Medicare Enrollment ID | O20200213000815 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801436480 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Megan C Wagoner |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1144539123 PECOS PAC ID: 6709026883 Enrollment ID: I20130715000037 |
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