Dr Alicia Wagoner, PSYD is a
Psychologist - Clinical based in Medway, Ohio. Dr Alicia Wagoner is licensed to practice in Ohio (license number 8397) and her current practice location is
2675 Medway New Carlisle Rd, Medway, Ohio. She can be reached at her office (for appointments etc.) via phone at
(937) 856-7066.
NPI number for Dr Alicia Wagoner is 1265922504 and her current mailing address is 2675 Medway New Carlisle Rd, Medway, Ohio. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1265922504.
Healthcare Provider's Profile
Full Name | Dr Alicia Wagoner |
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Gender | Female |
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Speciality | Psychologist - Clinical |
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Location | 2675 Medway New Carlisle Rd, Medway, Ohio |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1265922504
- Provider Enumeration Date: 05/11/2018
- Last Update Date: 10/27/2023
Medical Identifiers
Medical identifiers for Dr Alicia Wagoner such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1265922504 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TC0700X | Psychologist - Clinical | 8397 (Ohio) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Alicia Wagoner is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Alicia Wagoner, PSYD 2675 Medway New Carlisle Rd, Medway, OH 45341-9744 Ph: (937) 856-7066 | Dr Alicia Wagoner, PSYD 2675 Medway New Carlisle Rd, Medway, OH 45341-9744 Ph: (937) 856-7066 |
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