LORI WAGNER (NPI# 1285902387) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103G00000X | Clinical Neuropsychologist | 2706 | CT | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467707968 | Lori Velji Wagner | Speech-Language Pathologist | 1640 Marengo St Ste 600, Los Angeles, CA 90033-1056 | 2012-07-20 |
1174775035 | Lori Ann Wagner | Counselor | 109 S Cate St, Suite 5, Hammond, LA 70403-4299 | 2008-10-22 |
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 |
Street Address |
109 DANBURY ROAD LOWER LEVEL, SUITE D6 |
City | RIDGEFIELD |
State | CT |
Zip Code | 06877 |
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 |
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 |
Find all providers in zip 06877 |
Taxonomy Code | 103G00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Clinical Neuropsychologist |
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] |
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 |
Find all providers with the same taxonomy |
City | RIDGEFIELD |
Zip Code | 06877 |
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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.