| Patrick A Wagner Phd Pc | |
|
1253 North Deer Run E Drive Shelbyville IN 46176 | |
| (317) 398-8146 | |
| Not Available |
| Full Name | Patrick A Wagner Phd Pc |
|---|---|
| Speciality | Psychologist |
| Location | 1253 North Deer Run E Drive, Shelbyville, Indiana |
| Authorized Official Name and Position | Patrick A Wagner (PSYCHOLOGIST/OWNER) |
| Authorized Official Contact | 3173988146 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Patrick A Wagner Phd Pc 17330 W Center Rd Suite 110-282 Omaha NE 68130-2392 Ph: (317) 446-9288 | Patrick A Wagner Phd Pc 1253 North Deer Run E Drive Shelbyville IN 46176 Ph: (317) 398-8146 |
| NPI Number | 1548595440 |
|---|---|
| Provider Enumeration Date | 10/09/2009 |
| Last Update Date | 10/09/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548595440 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 20010493A (Indiana) | Primary |
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