Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SEAN M. WAGNER, LCP
Active Sole ProprietorSEAN M. WAGNER, LCP is a Clinical Psychologist healthcare provider located in KINGMAN, Kansas. NPI 1497852370 is currently active in the NPPES registry. Verify at CMS.
Clinical Psychologist · KINGMAN, KS
Registration Details
- NPI Number
- 1497852370
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 20, 2006 (19.939880660333 yrs)
- Last Updated
- Jul 8, 2007
- License
-
0196 (KS)
- Sole Proprietor
- Yes
Practice Information
- Address
-
760 W D AVEKINGMAN, KS, 670681266Browse KS providers · Browse ZIP 67068
- Phone
- 6205323895
- Primary Specialty
-
Clinical Psychologist
103TC0700X
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.