MR. JACOB ARNOLD WAGNER LSP, ED.S
NPI 1497590277
Psychologist - School in Cleveland, TN
About Mr. Jacob Arnold Wagner Lsp, Ed.s NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. JACOB ARNOLD WAGNER LSP, ED.S (NPI 1497590277) is an individual school provider in Cleveland, Tennessee, licensed in Tennessee (000748846) and active in the NPI registry since June 2024.
NPPES Registry Identity
Specialties & Licenses 2
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CLEVELAND, TN 37311
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 Jacob Wagner's NPI number?
The NPI number for Jacob Wagner is 1497590277. It was assigned to this individual provider in the NPPES registry on June 25, 2024.
Where is Jacob Wagner located?
Jacob Wagner practices at 2292 Chambliss Ave NW Ste C2, Cleveland, TN 37311. The listed phone number is (423) 479-5672.
What is Jacob Wagner's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in School, with taxonomy code 103TS0200X.
When was this NPI record last updated?
The NPPES record for Jacob Wagner was last updated on June 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.