L. DAVID WAGNER MED
NPI 1316074115
Counselor - Professional in Metairie, LA
Active since February 27, 2007
About L. David Wagner Med NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
L. DAVID WAGNER MED (NPI 1316074115) is an individual professional provider in Metairie, Louisiana, licensed in Louisiana (2014) and active in the NPI registry since February 2007.
NPPES Registry Identity
NPI1316074115
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameL. DAVID WAGNERCredential: MED
Location Address3001 5TH ST, # 300Metairie, LA 70002-1865
Mailing Address3001 5th St, # 300Metairie, LA 70002-1865 · (504) 836-0000 · Fax (504) 832-4040
Phone(504) 836-0000
Fax(504) 832-4040
Sole ProprietorYes
Enumeration DateFebruary 27, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1316074115 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in LA · 2014
3001 5TH ST, Metairie, LA 70002
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Counselor (Mental Health)
3001 5TH ST
METAIRIE, LA 70002
METAIRIE, LA 70002
Counselor (Mental Health)
3001 5TH ST, SUITE 300
METAIRIE, LA 70002
METAIRIE, LA 70002
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1316074115, enumerated as an "individual" on February 27, 2007.
The provider is located at 3001 5TH ST # 300 METAIRIE, LA 70002 and the phone number is (504) 836-0000.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
