Individual provider · Type 1 NPI

Kole Wagener

Clinical Psychologist · Kansas City, MO

NPI number 1205711207 Active

Practice location

4801 E Linwood Blvd
Kansas City, MO 64128-2226

Call (816) 861-4700 Map

Mailing address

3170 Woodview Ridge Dr
Kansas City, KS 66103-3601

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700XNA (MO)

Clinical Psychologist: 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 discip…

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About NPI 1205711207

Kole Wagener's National Provider Identifier is 1205711207, issued on Aug 8, 2025. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Kansas City, MO. The record was last updated on Aug 8, 2025.