Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. LARRY D WAGONER, PH.D., LMFT
Active Sole ProprietorDR. LARRY D WAGONER, PH.D., LMFT is a Marriage & Family Therapist healthcare provider located in JACKSONVILLE, Florida. NPI 1417046699 is currently active in the NPPES registry. Verify at CMS.
Marriage & Family Therapist · JACKSONVILLE, FL
Registration Details
- NPI Number
- 1417046699
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 12, 2006 (19.813218053875 yrs)
- Last Updated
- Jan 29, 2013
- License
-
MT1162 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
7545 CENTURION PKWYSUITE # 105JACKSONVILLE, FL, 322560579Browse FL providers · Browse ZIP 32256
- Phone
- 9046422468
- Fax
- 9046422469
- Primary Specialty
-
Marriage & Family Therapist
106H00000X
Other Marriage & Family Therapist Providers in JACKSONVILLE, FL
| Name | Credential | NPI |
|---|---|---|
| MR. DANNY L RANDOLPH | LMFT | 1790787281 |
| JENNIFER L GLOCK | LMFT | 1225019680 |
| MR. CHARLES VAUGHN KEREKES | LMFT, LMHC, CAP | 1740210574 |
| BRETT LOWELL RHODEN | MA | 1770517989 |
| LUANN M EDWARDS | LCSW | 1225051832 |
| MR. ROBERT EDWARD WILDER JR. | M.DIV., M.ED. | 1710999537 |
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.