DR. Lyle Walter Wagner JR., PHD

NPI #1972675486 in Litchfield, Minnesota

Provider Information

NPI Number: 1972675486
Entity Type: Individual
Name: DR. Lyle Walter Wagner JR., PHD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist
Credential: PHD
Enumeration Date: Nov 14, 2006
Last Updated: Jul 6, 2018

Practice Location

Address: 236 N SIBLEY AVE
City: Litchfield
State: Minnesota
ZIP Code: 55355
Phone: (320) 693-7708

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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