Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MICHAEL DALE WAGNER, PHD
Active Sole ProprietorDR. MICHAEL DALE WAGNER, PHD is a Clinical Psychologist healthcare provider located in WESTERVILLE, Ohio. NPI 1760577340 is currently active in the NPPES registry. Verify at CMS.
Clinical Psychologist · WESTERVILLE, OH
Registration Details
- NPI Number
- 1760577340
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 3, 2006 (19.882614262135 yrs)
- Last Updated
- Jun 20, 2020
- Licenses
-
4636 (OH)4636 (OH)
- Sole Proprietor
- Yes
Practice Information
- Address
-
5415 MEDALLION DR WWESTERVILLE, OH, 430829194Browse OH providers · Browse ZIP 43082
- Phone
- 6142188769
- Primary Specialty
-
Clinical Psychologist
103TC0700X
- Additional Specialty
- Clinical Psychologist
Other Clinical Psychologist Providers in WESTERVILLE, OH
| Name | Credential | NPI |
|---|---|---|
| DR. DIANA J BRENNER | PH.D. | 1154314870 |
| DR. MARY BRICKER | PH.D. | 1750320222 |
| DR. KATHLEEN RYAN | PH. D. | 1699716969 |
| DR. DAVID H WEAVER | PHD | 1285641969 |
| JOHN M MALINKY | PHD | 1447340781 |
| DR. BETHANY ANN SHAW | PSY.D. | 1154489276 |
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.