Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Dennis E Wagner, EDD

Individual provider Clinical Psychologist · NPI 1184649402

Dr. Dennis E Wagner, EDD is a Clinical Psychologist in Louisville, Kentucky. Qualified in 1987, 39 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in Kentucky.

Years since qualifying
39
Licensed in
KY
In the registry since
2006
Specialties on file
2
What do these letters mean?
EDD — Doctor of Education
A doctorate in education.

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Practice location Address checks out

1169 Eastern Pkwy Ste 2238
Louisville, KY 40217-1444
Phone: (502) 718-9114
Fax: (502) 479-3561
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 128987 (KY)
Clinical Psychologist Taxonomy 103TC0700X · Licence 0810 (KY)

Record details

NPI number1184649402
Entity typeIndividual (Type 1)
GenderMale
Credentials EDD
Sole proprietorYes
NPI enumeratedJuly 13, 2006
Last updated in NPPESJuly 21, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1987 (39 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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