Individual
DR. LESLIE ANN WAGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
533 SAINT CLAIR ST, GROSSE POINTE, MI 48230-1503
(313) 978-7792
(313) 936-1084
Mailing address
533 SAINT CLAIR ST, GROSSE POINTE, MI 48230-1503
(313) 978-7792
(313) 936-1084
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301012459
MI
103TC0700X
Clinical Psychologist
6301012459
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1013033398
NPPES
—
Enumeration date
03/21/2007
Last updated
05/23/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us