Marilyn M. Wagner Ph.D., Psc

LBN: Marilyn M. Wagner Ph.D., Psc
Marilyn M. Wagner Ph.D., Psc is an health care organization with primary practice located at 105A Crescent Ave , Louisville KY 40206-1525. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Neuropsychologist, which is considered as the primary health care specialty. Marilyn M. Wagner Ph.D., Psc can be contacted via phone (502) 893-4011, or through Wagner, Marilyn M via phone (502) 893-4011.

Contact Information

Primary practice address
105A Crescent Ave Louisville KY 40206-1525
Phone: (502) 893-4011
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Wagner, Marilyn M PHD
Phone: (502) 893-4011

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 0553 Kentucky

Profile Details

NPI number 1265689475
LBN Legal business name Marilyn M. Wagner Ph.D., Psc
DBA Doing business as
Authorized official Wagner, Marilyn M PHD
Entity Organization
Organization subpart 1 No
Enumeration date Aug 20th, 2008
Last updated Aug 20th, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers