| NPI | 1801436480 |
|---|---|
| Doing Business As | MEGAN WAGONER, PSYD |
| Doing Business As | SIDEKICK BILLING |
| Entity Type | Organization |
| Authorized Contact | MEGAN C WAGONER Sole Owner 360-513-1888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Enumeration Date | 2020-01-10 |
| Last Update Date | 2022-10-26 |