Dr. Blake Douglas Wagner Jr., PHD
Dr. Blake Douglas Wagner Jr., PHD is a Clinical Psychologist in Mansfield, Ohio. Qualified in 1988, 38 years ago. Practices with New Directions Eap Inc, a 3-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Ohio.
- Years since qualifying
- 38
- Licensed in
- OH
- In the registry since
- 2007
What do these letters mean?
- PHD — Doctor of Philosophy
- A research doctorate. In healthcare it usually sits alongside a clinical licence.
Practice location Address checks out
1575 Marion AveMansfield, OH 44906-3409
Phone: (419) 529-9941
Fax: (419) 529-0496
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Psychologist (primary) | Taxonomy 103T00000X · Licence I-4127 (OH) |
|---|
Record details
| NPI number | 1013069061 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PHD |
| Sole proprietor | No |
| NPI enumerated | January 18, 2007 |
| Last updated in NPPES | September 2, 2008 |
Medicare enrollment
| Medicare specialty | CLINICAL PSYCHOLOGIST |
|---|---|
| Medical school | OTHER |
| Graduated | 1988 (38 years in practice) |
| Group practice | New Directions Eap Inc — 3 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Telehealth | Offers telehealth services |
Other providers in Mansfield
-
Neurobehavioral Associates Ltd
462 Park Ave W, Mansfield, OH 44906 · (419) 529-9944
-
David Oleski
1001 Olivesburg Rd, Mansfield, OH 44905-1228 · (419) 526-2100
-
Dr. Paul E Robinson, PHD
3077 Possum Run Rd, Mansfield, OH 44903-7506 · (419) 756-9026
-
Harold Schroeder, PHD
111 S Diamond St, Mansfield, OH 44902-7510 · (330) 672-3787