NPI 1265689475

Marilyn M. Wagner PH.D., Psc

Organisation Clinical Neuropsychologist Louisville, KY

Practice location

Address: 105a Crescent Ave, Louisville, KY 40206-1525
Phone: (502) 893-4011

Authorised official

Name: Marilyn M Wagner
Title: President
Phone: (502) 893-4011

Registered specialties

Clinical Neuropsychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103G00000X Licence 0553 (KY)

Other Clinical Neuropsychologist providers in Kentucky →

Registry record

NPI: 1265689475
Entity type: Organization
NPI issued: 20 Aug 2008
Record last updated: 20 Aug 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.