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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MARILYN M WAGNER PH.D.
NPI 1598757213
Clinical Neuropsychologist in Louisville, KY

Active since August 18, 2005
7511 NEW LAGRANGE RD, LOUISVILLE, KY 40222(502) 423-1151(502) 423-1748 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Marilyn M Wagner Ph.d. NPPES

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

MARILYN M WAGNER PH.D. (NPI 1598757213) is an individual clinical neuropsychologist in Louisville, Kentucky, licensed in Kentucky (553) and active in the NPI registry since August 2005.

NPPES Registry Identity

NPI1598757213
Entity TypeIndividualFemale
Primary Taxonomy103G00000X
Provider Legal NameMARILYN M WAGNERCredential: PH.D.
Location Address7511 NEW LAGRANGE RDLouisville, KY 40222-4859
Mailing Address7511 New Lagrange RdLouisville, KY 40222-4859 · (502) 423-1151 · Fax (502) 423-1748
Phone(502) 423-1151
Fax(502) 423-1748
Sole ProprietorNo
Enumeration DateAugust 18, 2005
Last NPPES UpdateJuly 13, 2026
✔ NPI 1598757213 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 · 553
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.
7511 NEW LAGRANGE RD, Louisville, KY 40222
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Other Identifiers 1

Medicaid89007553KY

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LESLIE MARKS M.ED.
Psychologist
7511 NEW LAGRANGE RD
LOUISVILLE, KY 40222
Jefferson County (502) 423-1151
DR. ADAM BRICKLER PSY.D
Psychologist
7511 NEW LAGRANGE RD
LOUISVILLE, KY 40222
Jefferson County (502) 423-1151
ELISA WETZLER PSY.D
Psychologist
7511 NEW LAGRANGE RD
LOUISVILLE, KY 40222
Jefferson County (502) 423-1151
DONNA C SMITH M.A.
Psychologist
7511 NEW LAGRANGE RD
LOUISVILLE, KY 40222
Jefferson County (502) 423-1151
DR. RICHARD I EDELSON PH.D
Clinical Neuropsychologist
7511 NEW LAGRANGE RD
LOUISVILLE, KY 40222
Jefferson County (502) 423-1151
MARY KIMBLE KEENAN
Psychologist (Counseling)
7511 NEW LAGRANGE RD
LOUISVILLE, KY 40222
Jefferson County (502) 423-1151
HEATHER W. RANDOLPH PSY.D.
Psychologist (Clinical)
7511 NEW LAGRANGE RD
LOUISVILLE, KY 40222
Jefferson County (502) 423-1151
EDELSON AND ASSOCIATES, INC.
Clinical Neuropsychologist
7511 NEW LAGRANGE RD
LOUISVILLE, KY 40222
Jefferson County (502) 423-1151

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 Wagner's NPI number?

The NPI number for Marilyn Wagner is 1598757213. It was assigned to this individual provider in the NPPES registry on August 18, 2005.

Where is Marilyn Wagner located?

Marilyn Wagner practices at 7511 New Lagrange Rd, Louisville, KY 40222. The listed phone number is (502) 423-1151.

What is Marilyn Wagner'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 Wagner was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 39 days 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.