LYLE WALTER WAGNER III PHD, LP
NPI 1649683939
Psychologist - Clinical in Coon Rapids, MN
- Individual
- Male
- Psychologist
- Clinical
About LYLE WAGNER
This page provides the complete NPI Profile along with additional information for Lyle Wagner, a provider established in Coon Rapids, Minnesota with a medical specialization in Psychologist, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1649683939 assigned on June 2014. The practitioner's primary taxonomy code is 103TC0700X with license number 5751 (MN). The provider is registered as an individual and his NPI record was last updated 12 years ago.
- NPI
- 1649683939 Verify this NPI
- Provider Name
- LYLE WALTER WAGNER III PHD, LP
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 3907 COON RAPIDS BLVD NW COON RAPIDS, MN 55433
- Location Phone
- (320) 629-7600
- Location Fax
- (651) 925-0071
- Mailing Address
- 220 RAILROAD ST SE PINE CITY, MN 55063
- Mailing Phone
- (320) 629-7600
- Mailing Fax
- (651) 925-0071
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-04-2014
- Last Update Date
- 06-04-2014
- Code Navigator
A clinical psychologist like Lyle Wagner assesses, diagnoses, and treats mental, emotional, and behavioral disorders. Clinical psychologists help people deal with problems ranging from short-term personal issues to severe, chronic conditions. Clinical psychologists interview patients, give diagnostic tests, provide psychotherapy and design behavior modification programs to help patients.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Psychologist Clinical
- Taxonomy Code
- 103TC0700X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 5751
- License State
- MN
- Taxonomy Description
- 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.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1649683939, enumerated as an "individual" on June 04, 2014.
The provider is located at 3907 COON RAPIDS BLVD NW COON RAPIDS, MN 55433 and the phone number is (320) 629-7600.
Psychologist with taxonomy code 103TC0700X and a focus in Clinical.
