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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KYLE W WAGNER, LPC

Active Sole Proprietor

KYLE W WAGNER, LPC is a Professional Counselor healthcare provider located in BETHEL PARK, Pennsylvania. NPI 1225308836 is currently active in the NPPES registry. Verify at CMS.

Professional Counselor · BETHEL PARK, PA

Registration Details

NPI Number
1225308836
Provider Type
Individual
Gender
Male
NPI Issued
Jan 12, 2012 (14.55793020359 yrs)
Last Updated
Apr 29, 2015
Licenses
E0800066 (OH)
PC006856 (PA)
Sole Proprietor
Yes

Practice Information

Address
2884 INDUSTRIAL BLVD
SUITE 13
BETHEL PARK, PA, 151022580
Browse PA providers · Browse ZIP 15102
Phone
4129450692
Fax
4127742627
Primary Specialty
Professional Counselor
101YP2500X
Additional Specialty
Professional Counselor

Other Professional Counselor Providers in BETHEL PARK, PA

Name Credential NPI
DAVID POSIPANKA 1558496562
MATTHEW BRIAN CROOKS M.ED., CRC, LPC 1659583094
SUSAN DEEP M.ED., LPC 1710203021
MRS. CINDY SUZANNE PFRIMMER MA, LPC 1790003259
MR. JOHN V VINAY MSED, NCC, LPC, CCBT 1811264450
KREGG WINKOWSKI 1457698052
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.