Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JACOB ARNOLD WAGNER, LSP, ED.S
ActiveMR. JACOB ARNOLD WAGNER, LSP, ED.S is a School Psychologist healthcare provider located in CLEVELAND, Tennessee. NPI 1497590277 is currently active in the NPPES registry. Verify at CMS.
School Psychologist · CLEVELAND, TN
Registration Details
- NPI Number
- 1497590277
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 25, 2024 (2.1653345239446 yrs)
- Last Updated
- Jun 25, 2024
- License
-
000748846 (TN)
Practice Information
- Address
-
2292 CHAMBLISS AVE NW STE C2CLEVELAND, TN, 373113862Browse TN providers · Browse ZIP 37311
- Phone
- 4234795672
- Fax
- 4234795679
- Primary Specialty
-
School Psychologist
103TS0200X
- Additional Specialty
- School Psychologist
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.