Lyle Walter Wagner Jr., PHD
Psychologist · Litchfield, MN
Practice location
236 N Sibley AveLitchfield, MN 55355
- Phone
- (320) 693-7708
- Fax
- (320) 434-2176
NPI record
- NPI
- 1972675486
- Entity type
- Individual (Type 1)
- Enumeration date
- November 14, 2006
- Last updated
- July 6, 2018
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X |
LP0681 | MN |
Mailing address
236 N Sibley AveLitchfield, MN 55355-2141
- Phone
- (320) 693-7708
- Fax
- (320) 434-2176
About Dr. Wagner
Lyle Walter Wagner Jr., PHD is a healthcare provider registered in the NPI registry with the primary taxonomy Psychologist (code 103T00000X). The practice location is 236 N Sibley Ave, Litchfield, MN 55355. The NPI number 1972675486 was assigned on November 14, 2006 and the record was last updated on July 6, 2018.
Dr. Wagner lists a license in the registry: #LP0681 (MN) 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 Lyle Walter Wagner Jr., PHD?
The NPI number is 1972675486.
What is the phone number of Dr. Wagner?
The phone number listed for the practice location is (320) 693-7708.
Where is Dr. Wagner located?
236 N Sibley Ave, Litchfield, MN 55355.
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.