IndividualActive
Alicia Wagoner, PSY.D
NPI 1265922504 · Clinical Psychologist · Medway, OH
Provider details
- NPI number
- 1265922504
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Credential
- PSY.D
- Sex
- Female
- Sole proprietor
- Yes
- License
- 8397 (OH)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
2675 Medway New Carlisle Rd
Medway, OH 45341-9744
Phone: (937) 856-7066
Approximate (ZIP-level) locationGet directions
Mailing address
2675 Medway New Carlisle Rd
Medway, OH 45341-9744
Registry dates
- Enumerated
- 2018-05-11
- Last updated
- 2023-10-27
- Certified
- 2023-10-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.