Individual
DR. BARRY THOMAS WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1613 W RIVERSIDE AVE, MUNCIE, IN 47306-1012
(765) 285-4422
(765) 285-5632
Mailing address
13017 OXBRIDGE PL, FISHERS, IN 46037-7227
(317) 727-1963
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
04/11/2025
Last updated
04/11/2025
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