NPI 1013069061 DR. BLAKE DOUGLAS WAGNER PH.D. MANSFIELD OH. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Dr. Blake Douglas Wagner - NPI: 1013069061

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: DR. BLAKE DOUGLAS WAGNER
NPI Number: 1013069061
Entity Type Code: Individual (1)
Gender: M
Credentials: PH.D.
License Number: I-4127
Business Practice Address: 1575 Marion Ave
Mansfield, OH - 449063409
Business Phone Number: 4195299941
Business Fax Number: 4195290496
Mailing Address: 1575 Marion Ave,
MANSFIELD
State: OH
Postal Code: 449063409
Phone Number: 4195299941
Fax Number: 4195290496
NPI Enumeration Date: 01/18/2007
NPI Last Update Date: 09/02/2008
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 103T00000X
License Number: I-4127
Healthcare Provider Taxonomy:
(Secondary)
Y
State: OH
Taxonomy Type: Behavioral Health & Social Service Providers
Taxonomy Classification: Psychologist
Taxonomy Specialization:
Taxonomy Definition:
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.


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