Individual
MARILYN M WAGNER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
7511 NEW LAGRANGE RD, LOUISVILLE, KY 40222-4859
(502) 423-1151
(502) 423-1748
Mailing address
7511 NEW LAGRANGE RD, LOUISVILLE, KY 40222-4859
(502) 423-1151
(502) 423-1748
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
553
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89007553
—
KY
Enumeration date
08/18/2005
Last updated
07/08/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us