LORI WAGNER


Address: 109 Danbury Road, Lower Level, Suite D6, Ridgefield, CT 06877
Phone: 2034948468

LORI WAGNER (NPI# 1285902387) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1285902387
Entity Type Individual
Full Name LORI WAGNER
Credential PSY.D.
Practice Address 109 Danbury Road
Lower Level, Suite D6
Ridgefield
CT 06877
Mailing Address 109 Danbury Road
Lower Level, Suite D6
Ridgefield
CT 06877-0687
Practice Telephone 2034948468
Practice Fax Number 8455820764
Mailing Telephone 2034948468
Mailing Fax Number 8455820764
Enumeration Date 2011-12-05
Last Update Date 2017-05-18
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103G00000X Clinical Neuropsychologist 2706 CT Behavioral Health & Social Service Providers

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1710972260 Lori A Wagner Registered Nurse 2387 Professional Heights Dr Ste 180, Lexington, KY 40503-3013 2005-09-12
1366936528 Lori Wagner Occupational Therapist 2025 Hayes Ave, Sandusky, OH 44870-4739 2018-06-20
1538542246 Lori Ann Wagner Counselor 1385 Mendota Heights Rd Ste 200, Mendota Heights, MN 55120-1289 2015-06-30
1114202421 Lori J Wagner Nurse Practitioner 1919 E Thomas Rd, Phoenix, AZ 85016-7710 2011-10-18
1164697520 Lori Finch Wagner Pediatrics 11 Vanderbilt Park Dr, Asheville, NC 28803-1700 2008-04-28
1164601936 Lori B Wagner Family Medicine 1502 E Fowler Ave, Tampa, FL 33612-5416 2007-10-30
1851410823 Lori E Wagner Nurse Practitioner 1212 Asquithpines Pl, Arnold, MD 21012-2149 2007-03-28
1548274608 Lori W Wagner Internal Medicine 800 Zorn Ave, Louisville, KY 40206-1433 2006-07-27

Office Location

Street Address 109 DANBURY ROAD
LOWER LEVEL, SUITE D6
City RIDGEFIELD
State CT
Zip Code 06877

Providers in the same location

NPI Name Taxonomy Address Enumeration
1912434234 Mind Body Soul - Psychology and Consulting Group LLC Psychologist 109 Danbury Road, Lower Level, Suite D6, Ridgefield, CT 06877-0687 2017-05-17

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1639653850 Kari Bradley Lombardo Physical Therapist 28 Fieldcrest Drive, Ridgefield, CT 06877 2018-09-24
1942710868 Being Centered: Psycological Services, Pllc Psychologist 100b Danbury Rd., Ste 105e, Ridgefield, CT 06877 2017-10-05
1376996587 Laura Susan Craighead Social Worker 90 Bloomer Rd, Ridgefield, CT 06877 2016-07-22
1760801161 Haig Dodakian Physician Assistant 27 Jefferson Drive, Ridgefield, CT 06877 2014-04-14
1669895306 Sharon Fudge Hoffner Physical Therapist 250 Ivy Hill Road, Ridgefield, CT 06877 2014-01-31
1720416910 Lisa Oths Counselor 100 B Danbury Road, Suite 201a, Ridgefield, CT 06877 2013-10-24
1184059966 Abigail Quincy Egginton Naturopath 100b Danbury Rd, Suite 102, Ridgefield, CT 06877 2013-09-11
1407110281 Nicole Steen Social Worker 100b Danbury Road, Suite 201a, Ridgefield, CT 06877 2012-06-27
1023384328 Kelley Hopkins-alvarez Counselor 100b Danbury Rd Suite 201d, Ridgefield, CT 06877 2012-03-30
1235437088 Penelope Mcdonnell Naturopath 90 East Ridge Rd, Ridgefield, CT 06877 2011-03-03
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Taxonomy Information

Taxonomy Code 103G00000X
Grouping Behavioral Health & Social Service Providers
Classification Clinical Neuropsychologist

Taxonomy Definition

An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning.
Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1548761224 Shumita Roy Clinical Neuropsychologist 18 N Main St Fl 2, West Hartford, CT 06107-1970 2018-02-27
1992216790 Brisman Associates In Neuropsychology, Pllc Clinical Neuropsychologist 433 S Main St Ste 225, West Hartford, CT 06110-2812 2017-10-19
1083157556 Eva Troyb Clinical Neuropsychologist 26 Hawks Lndg, Amston, CT 06231-1659 2016-11-30
1669824702 Martin D Oliveira Psy D LLC Clinical Neuropsychologist 10 N Main St Ste 1, West Hartford, CT 06107-1968 2016-07-12
1497151245 Connecticut Neuropsychological Associates, LLC Clinical Neuropsychologist 40 Connecticut Ave, Norwich, CT 06360-1502 2014-11-06
1750795647 James W. Pier, Ph.d., LLC Clinical Neuropsychologist 700 West Johnson Ave., Suite #310, Cheshire, CT 06410 2014-06-18
1922424175 Psych Solutions LLC Clinical Neuropsychologist 2795 Albany Ave, West Hartford, CT 06117-1804 2014-03-12
1194157313 Ginger Mills Clinical Neuropsychologist 623 Newfield Ave, Stamford, CT 06905-3302 2013-07-30
1144561051 Western Connecticut Behavioral Health Clinical Neuropsychologist 828 Federal Rd, 2nd Floor, Brookfield, CT 06804-1830 2013-03-04
1043569288 David Porrino Clinical Neuropsychologist 85 Old Kings Hwy N Fl 2, Darien, CT 06820-4732 2012-09-04
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Competitor

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City RIDGEFIELD
Zip Code 06877

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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