National Provider Identifier
Stephanie Wagner
Stephanie Wagner is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Orchard Park, NY and a listed phone number of (716) 895-7207.
Profile Overview
- NPI
- 1659879823
- Provider Type
- Individual
- Primary Specialty
- Mental Health Counselor
- Enumeration Date
- January 23, 2018
- Last Updated
- November 11, 2021
Practice Location
- 3671 Southwestern Blvd Ste 209
- Orchard Park, NY 14127-1749
Phone: (716) 895-7207
Specialties
- Mental Health Counselor (101YM0800X)
Full Record
- NPI
- 1659879823
- Entity Type
- Individual
- Last Name
- Wagner
- First Name
- Stephanie
- Mailing Street Address
- 3671 Southwestern Blvd Ste 209
- Mailing City
- Orchard Park
- Mailing State
- NY
- Mailing ZIP Code
- 14127-1749
- Mailing Country
- US
- Practice Street Address
- 3671 Southwestern Blvd Ste 209
- Practice City
- Orchard Park
- Practice State
- NY
- Practice ZIP Code
- 14127-1749
- Practice Country
- US
- Practice Phone
- (716) 895-7207
- Enumeration Date
- January 23, 2018
- Last Updated
- November 11, 2021
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- November 11, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Mental Health Counselor (101YM0800X)