ALEXANDRA LEIGH WAGENER M.A.
NPI 1275848715
Psychologist - Clinical in Minneapolis, MN

Active since August 09, 2010
5105 WOODLAWN BLVD, MINNEAPOLIS, MN 55417(612) 710-1872 Get Directions Write a Review

NPPES record last updated: July 18, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Alexandra Leigh Wagener M.a. NPPES

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

ALEXANDRA LEIGH WAGENER M.A. (NPI 1275848715) is an individual clinical provider in Minneapolis, Minnesota, licensed in Kansas (T-LMLP 1332) and active in the NPI registry since August 2010.

NPPES Registry Identity

NPI1275848715
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameALEXANDRA LEIGH WAGENERCredential: M.A.
Location Address5105 WOODLAWN BLVDMinneapolis, MN 55417-1349
Mailing Address5105 Woodlawn BlvdMinneapolis, MN 55417-1349
Sole ProprietorYes
Enumeration DateAugust 9, 2010
Last NPPES UpdateJuly 18, 2012
NPI 1275848715 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in KS · T-LMLP 1332
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
5105 WOODLAWN BLVD, Minneapolis, MN 55417

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 Alexandra Wagener's NPI number?

The NPI number for Alexandra Wagener is 1275848715. It was assigned to this individual provider in the NPPES registry on August 9, 2010.

Where is Alexandra Wagener located?

Alexandra Wagener practices at 5105 Woodlawn Blvd, Minneapolis, MN 55417. The listed phone number is (612) 710-1872.

What is Alexandra Wagener's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Alexandra Wagener was last updated on July 18, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.