MARILYN M. WAGNER PH.D., PSC
NPI 1265689475
Clinical Neuropsychologist in Louisville, KY

Q: What is Marilyn M. Wagner Ph.D., Psc's NPI number?

The NPI number for Marilyn M. Wagner Ph.D., Psc is 1265689475. It was assigned to this organization in the NPPES registry on August 20, 2008.

Q: What is Marilyn M. Wagner Ph.D., Psc's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Active since August 20, 2008

105A CRESCENT AVE, LOUISVILLE, KY 40206(502) 893-4011 Get Directions Write a Review

NPPES record last updated: August 20, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Marilyn M. Wagner Ph.d., Psc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARILYN M. WAGNER PH.D., PSC (NPI 1265689475) is a healthcare organization registered as a clinical neuropsychologist in Louisville, Kentucky and active in the NPI registry since August 2008. The organization lists Marilyn M Wagner, President, as its authorized official.

NPPES Registry Identity

NPI1265689475

Entity TypeOrganization

Primary Taxonomy103G00000X

Legal Business NameMARILYN M. WAGNER PH.D., PSC

Location Address105A CRESCENT AVELouisville, KY 40206-1525

Mailing Address105a Crescent AveLouisville, KY 40206-1525 · (502) 893-4011

Phone(502) 893-4011

Organization SubpartNo

Authorized OfficialMarilyn M WagnerPresident · (502) 893-4011

Enumeration DateAugust 20, 2008

✔ NPI 1265689475 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers

Taxonomy Code103G00000X

License✔ Licensed in KY · 0553

Definition

A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.

105A CRESCENT AVE, Louisville, KY 40206

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Other Identifiers 1

Medicare PINPENDINGKY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marilyn M. Wagner Ph.D., Psc's NPI number?

The NPI number for Marilyn M. Wagner Ph.D., Psc is 1265689475. It was assigned to this organization in the NPPES registry on August 20, 2008.

Where is Marilyn M. Wagner Ph.D., Psc located?

Marilyn M. Wagner Ph.D., Psc is located at 105A Crescent Ave, Louisville, KY 40206. The listed phone number is (502) 893-4011.

What is Marilyn M. Wagner Ph.D., Psc's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

When was this NPI record last updated?

The NPPES record for Marilyn M. Wagner Ph.D., Psc was last updated on August 20, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.