Dr Kimberly Wagner, PHD - Psychologist in Bloomington, IN

Dr Kimberly Wagner, PHD is a Psychologist - Counseling based in Bloomington, Indiana. Dr Kimberly Wagner is licensed to practice in Indiana (license number 20042059A) and her current practice location is 201 N Rose Ave, Room 32, Bloomington, Indiana. She can be reached at her office (for appointments etc.) via phone at (812) 856-8572.

NPI number for Dr Kimberly Wagner is 1245352855 and her current mailing address is 2401 E 8th St, Bloomington, Indiana. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1245352855.

Contact Information

Dr Kimberly Wagner, PHD
201 N Rose Ave, Room 32,
Bloomington, IN 47405-1005
(812) 856-8572
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Kimberly Wagner
GenderFemale
SpecialityPsychologist - Counseling
Location201 N Rose Ave, Bloomington, Indiana
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1245352855
  • Provider Enumeration Date: 04/04/2007
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Dr Kimberly Wagner such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1245352855NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC1900XPsychologist - Counseling 20042059A (Indiana)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 Kimberly Wagner 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 AddressPractice Location Address
Dr Kimberly Wagner, PHD
2401 E 8th St,
Bloomington, IN 47408-4212

Ph: () -
Dr Kimberly Wagner, PHD
201 N Rose Ave, Room 32,
Bloomington, IN 47405-1005

Ph: (812) 856-8572

Reviews and Comments


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