Individual provider · Type 1 NPI
Lyle Walter Wagner Jr., PhD
Psychologist · Litchfield, MN
Practice location
236 N Sibley Ave
Litchfield, MN 55355
Fax (320) 434-2176
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist Primary | 103T00000X | LP0681 (MN) |
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…
About NPI 1972675486
Lyle Walter Wagner Jr., PhD's National Provider Identifier is 1972675486, issued on Nov 14, 2006. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Litchfield, MN. The record was last updated on Jul 6, 2018.