Dr Matthew T Wagner, CLIN PSYCHOLOGIST - Psychologist in Chowchilla, CA

Dr Matthew T Wagner, CLIN PSYCHOLOGIST is a Psychologist - Clinical based in Chowchilla, California. Dr Matthew T Wagner is licensed to practice in California (license number PSY19277) and his current practice location is 21633 Avenue 24, Chowchilla, California. He can be reached at his office (for appointments etc.) via phone at (559) 665-6100.

NPI number for Dr Matthew T Wagner is 1811203417 and his current mailing address is 21633 Avenue 24, Chowchilla, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1811203417.

Contact Information

Dr Matthew T Wagner, CLIN PSYCHOLOGIST
21633 Avenue 24,
Chowchilla, CA 93610-9650
(559) 665-6100
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Matthew T Wagner
GenderMale
SpecialityPsychologist - Clinical
Location21633 Avenue 24, Chowchilla, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1811203417
  • Provider Enumeration Date: 08/20/2010
  • Last Update Date: 08/20/2010

Medical Identifiers

Medical identifiers for Dr Matthew T Wagner such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1811203417NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical PSY19277 (California)Primary
103TF0000XPsychologist - Family PSY 19277 (California)Secondary
103TF0200XPsychologist - Forensic PSY 19277 (California)Secondary
103TH0100XPsychologist - Health Service PSY 19277 (California)Secondary
103TP2701XPsychologist - Group Psychotherapy PSY 19277 (California)Secondary

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 Matthew T 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 Matthew T Wagner, CLIN PSYCHOLOGIST
21633 Avenue 24,
Chowchilla, CA 93610-9650

Ph: (559) 655-6100
Dr Matthew T Wagner, CLIN PSYCHOLOGIST
21633 Avenue 24,
Chowchilla, CA 93610-9650

Ph: (559) 665-6100

Reviews and Comments


Psychologist in Chowchilla, CA

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Dr. Rachel Michelle Richardson, PSYD
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