Blake Douglas Wagner Jr., PH.D.
Psychologist · Mansfield, OH
Practice location
1575 Marion AveMansfield, OH 44906-3409
- Phone
- (419) 529-9941
- Fax
- (419) 529-0496
NPI record
- NPI
- 1013069061
- Entity type
- Individual (Type 1)
- Enumeration date
- January 18, 2007
- Last updated
- September 2, 2008
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X |
I-4127 | OH |
About Dr. Wagner
Blake Douglas Wagner Jr., PH.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Psychologist (code 103T00000X). The practice location is 1575 Marion Ave, Mansfield, OH 44906-3409. The NPI number 1013069061 was assigned on January 18, 2007 and the record was last updated on September 2, 2008.
Dr. Wagner lists a license in the registry: #I-4127 (OH) for Psychologist. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Blake Douglas Wagner Jr., PH.D.?
The NPI number is 1013069061.
What is the phone number of Dr. Wagner?
The phone number listed for the practice location is (419) 529-9941.
Where is Dr. Wagner located?
1575 Marion Ave, Mansfield, OH 44906-3409.
What is the taxonomy code for Dr. Wagner?
The primary taxonomy code is 103T00000X – Psychologist.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
Other Psychologist providers in Mansfield
- Harold Schroeder PHD & Associates111 S Diamond St
- Dennis Andrew Marikis, PHD788 Lexington Ave
- David Oleski1001 Olivesburg Rd
- Paul E. Robinson, PH.D.3077 Possum Run Rd
- Neurobehavioral Associates LTD462 Park Ave West
- Harold Schroeder, PHD111 S Diamond St