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

Dr. Matthew T. Wagner, CLINPSYCHOLOGIST

Individual provider Clinical Psychologist · NPI 1811203417

Dr. Matthew T. Wagner, CLINPSYCHOLOGIST is a Clinical Psychologist in Chowchilla, California. Licensed in California. Registered with an NPI since 2010.

Licensed in
CA
In the registry since
2010
Specialties on file
5

Practice location Address checks out

21633 Avenue 24
Chowchilla, CA 93610-9650
Phone: (559) 665-6100
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PSY19277 (CA)
Family Psychologist Taxonomy 103TF0000X · Licence PSY 19277 (CA)
Forensic Psychologist Taxonomy 103TF0200X · Licence PSY 19277 (CA)
Health Service Psychologist Taxonomy 103TH0100X · Licence PSY 19277 (CA)
Group Psychotherapy Psychologist Taxonomy 103TP2701X · Licence PSY 19277 (CA)

Record details

NPI number1811203417
Entity typeIndividual (Type 1)
GenderMale
Credentials CLINPSYCHOLOGIST
Sole proprietorNo
NPI enumeratedAugust 20, 2010
Last updated in NPPESAugust 20, 2010

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