IndividualActive
Kimberly Wagner, PH.D.
NPI 1245352855 · Counseling Psychologist · Bloomington, IN
Provider details
- NPI number
- 1245352855
- Entity type
- Individual
- Primary specialty
- Counseling PsychologistBehavioral Health & Social Service Providers
- Credential
- PH.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 20042059A (IN)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
201 N Rose Ave
Room 32
Bloomington, IN 47405-1005
Phone: (812) 856-8572
Approximate (ZIP-level) locationGet directions
Mailing address
2401 E 8th St
Bloomington, IN 47408-4212
Registry dates
- Enumerated
- 2007-04-04
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.