Individual
STEPHANIE BING WAGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD/MPH
Contact information
Practice address
55 HOPE ST, PROVIDENCE, RI 02906-2001
(401) 519-2230
Mailing address
55 HOPE ST, PROVIDENCE, RI 02906-2001
(401) 519-2230
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
CMD19995
RI
Other
Enumeration date
03/27/2020
Last updated
08/06/2025
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