DR. Larry D Wagoner PH.D., LMFT

  • NPI 1417046699
According to our database, the NPI number for DR. Larry D Wagoner PH.D., LMFT is 1417046699 and activated since 17 years ago. DR. Larry D Wagoner PH.D., LMFT is an individual provider who specializes in Marriage & Family Therapist, and the primary practice location is 7545 Centurion Pkwy, Jacksonville, FL 32256. You can also contact DR. Larry D Wagoner PH.D., LMFT via telephone number is (904) 642-2468. Provider NPI information was last updated on 01/29/2013.

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Overview of DR. Larry D Wagoner PH.D., LMFT

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 10/12/2006
  • Last updated: 01/29/2013

Primary Scrop of Practice

  • Taxonomy Code: 106H00000X
  • Specialty: Marriage & Family Therapist
  • License Number: MT1162
  • License State: FL

Provider Mailing Address

  • Address: 2058 Beach Ave
    Atlantic Beach, FL 32233
  • Phone: 904-372-7365
  • Fax: 904-372-7365

Provider Practice Location

  • Address: 7545 Centurion Pkwy
    Suite # 105
    Jacksonville, FL 32256
  • Phone: 904-642-2468
  • Fax: 904-642-2469

Scope of Practice

  • Taxonomy Code: 106H00000X
  • Specialty: Marriage & Family Therapist
  • License Number: MT1162
  • License State: FL
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for DR. Larry D Wagoner PH.D., LMFT?
  • A: The npi number for DR. Larry D Wagoner PH.D., LMFT is 1417046699.
  • Q: What are DR. Larry D Wagoner PH.D., LMFT's specialties?
  • A: DR. Larry D Wagoner PH.D., LMFT's specialties are Marriage & Family Therapist and different specialities.
  • Q: What is the medical license for DR. Larry D Wagoner PH.D., LMFT?
  • A: The medical license number for DR. Larry D Wagoner PH.D., LMFT is MT1162 and issued in FL in USA.
  • Q: Where is DR. Larry D Wagoner PH.D., LMFT practice location?
  • A: DR. Larry D Wagoner PH.D., LMFT is practicing at 7545 Centurion Pkwy, Jacksonville, FL 32256.
  • Q: How to contact DR. Larry D Wagoner PH.D., LMFT?
  • A: You can contact DR. Larry D Wagoner PH.D., LMFT via 904-642-2468.
Medicare Specialty
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