Marilyn M Wagner in Louisville - Clinical Neuropsychologist
Marilyn M Wagner - NPI 1598757213
Marilyn M Wagner is a Clinical Neuropsychologist in Louisville, Kentucky. Marilyn M Wagner practices all healthcare services and medical treatments related to Clinical Neuropsychologist. The NPI Number for Marilyn M Wagner is 1598757213. The last update date is 2007-07-08.
Marilyn M Wagner's current location address is 7511 New Lagrange Rd, Louisville, Kentucky. You can contact this provider via phone number 5024231151 and fax number 5024231748. The mailing address for Marilyn M Wagner is 7511 New Lagrange Rd, Louisville, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Marilyn M Wagner |
|---|---|
| Address | 7511 New Lagrange Rd, Louisville, Kentucky |
| Phone Number | 5024231151 |
| Fax Number | 5024231748 |
| Sole Proprietor | X |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1598757213 |
|---|---|
| Provider Enumeration Date | 2005-08-18 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 7511 New Lagrange Rd |
|---|---|
| City | Louisville |
| State | Kentucky (KY) |
| Post Code | 402224859 |
| Phone Number | 5024231151 |
| Fax Number | 5024231748 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Neuropsychologist |
|---|---|
| Taxonomy | 103G00000X |
| Licence No | 553 |
|
Definition: A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing th |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 89007553 | KY | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Marilyn M Wagner by the Centers for Medicare & Medicaid Services?
The Marilyn M Wagner has been assigned the NPI (National Provider Identifier) 1598757213 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical location address where Marilyn M Wagner's facilities are situated?
The facilities of Marilyn M Wagner are physically located at the following address: 7511 New Lagrange Rd, Louisville, KY, 402224859.
What is the Marilyn M Wagner's area of specialization and corresponding taxonomy classification?
The Marilyn M Wagner's specialty field is Clinical Neuropsychologist, and it falls under the taxonomy code 103G00000X, which categorizes healthcare providers based on their specialties.
On what date did the Marilyn M Wagner receive the assignment of its 1598757213 from the Centers for Medicare & Medicaid Services?
The Marilyn M Wagner was issued its 1598757213 by the Centers for Medicare & Medicaid Services on 2005-08-18.
As of what date were the Marilyn M Wagner's details last updated?
The information pertaining to the Marilyn M Wagner, including its address, specialty, and other details, was most recently updated on 2007-07-08.