BRITTTANY WAGGONER


Address: 1288 N Tapadero Dr Apt C, Dewey, AZ 86327-5823
Phone: 9284998069

BRITTTANY WAGGONER (NPI# 1518246859) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1518246859
Entity Type Individual
Full Name BRITTTANY WAGGONER
Credential M.A.
Practice Address 1288 N Tapadero Dr Apt C
Dewey
AZ 86327-5823
Practice Telephone 9284998069
Enumeration Date 2011-08-04
Last Update Date 2011-08-04
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TS0200X Psychologist
Specialization: School
4116576 OR Behavioral Health & Social Service Providers

Office Location

Street Address 1288 N TAPADERO DR APT C
City DEWEY
State AZ
Zip Code 86327-5823

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Taxonomy Information

Taxonomy Code 103TS0200X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization School

Taxonomy Definition

Definition to come...

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Competitor

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City DEWEY
Zip Code 86327

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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