| Lyle Walter Wagner Iii, PHD, LP | |
|
3907 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-2520 | |
| (320) 629-7600 | |
| (651) 925-0071 |
| Full Name | Lyle Walter Wagner Iii |
|---|---|
| Gender | Male |
| Speciality | Psychologist - Clinical |
| Location | 3907 Coon Rapids Blvd Nw, Coon Rapids, Minnesota |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649683939 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 5751 (Minnesota) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Lyle Walter Wagner Iii, PHD, LP 220 Railroad St Se, Pine City, MN 55063-1540 Ph: (320) 629-7600 | Lyle Walter Wagner Iii, PHD, LP 3907 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-2520 Ph: (320) 629-7600 |
Abby O'keefe Stanislaw, PSYD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 9055 Springbrook Dr Nw, Coon Rapids, MN 55433 Phone: 763-780-9155 Fax: 763-236-1066 | |
Mr. Rand Ollen Adams, L.P. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1930 Coon Rapids Blvd Nw, Family Life Mental Health, Coon Rapids, MN 55433 Phone: 763-427-7964 Fax: 763-427-7926 | |
Dr. Ciara Lee Stigen, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 4050 Coon Rapids Blvd Nw, Coon Rapids, MN 55433 Phone: 614-584-5109 | |
Steven Morris Smith, PSYD LP Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1930 Coon Rapids Blvd, Family Life Mental Health Center, Coon Rapids, MN 55433 Phone: 763-427-7964 Fax: 763-427-7976 | |
Dr. Kenneth Ray Young Jr., PSYD, LP Psychologist Medicare: Accepting Medicare Assignments Practice Location: 9055 Springbrook Dr Nw, Coon Rapids, MN 55433 Phone: 763-780-9155 Fax: 763-236-1066 | |
Jarett Edward Roseberry, PHD., LP Psychologist Medicare: Accepting Medicare Assignments Practice Location: 11850 Blackfoot St Nw Ste 400, Coon Rapids, MN 55433 Phone: 763-236-8911 | |
Catherine Jane Luitjens, LP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 11660 Round Lake Blvd Nw, Coon Rapids, MN 55433 Phone: 763-767-3350 Fax: 763-767-0912 |