Individual provider · Type 1 NPI
Kevin Wagner, PhD
Psychologist · Houston, TX
Practice location
1977 Butler Blvd Ste E4.400
Houston, TX 77030-4101
Mailing address
1977 Butler Blvd
Houston, TX 77030-4101
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Psychologist | 103TC0700X | 40475 (TX) |
| Psychologist Primary | 103T00000X | 40475 (TX) |
Psychologist: 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 adjustmen…
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About NPI 1730973124
Kevin Wagner, PhD's National Provider Identifier is 1730973124, issued on Apr 8, 2025. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Houston, TX. The record was last updated on Jul 28, 2025.